Organization
CORE HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENIQUE CLARK (CEO)
(480) 660-6647
Entity
Organization
Contact information
Practice address
10621 S 51ST ST STE 103, PHOENIX, AZ 85044-5207
(480) 660-6647
(480) 660-6674
Mailing address
3702 E ROESER RD STE 11, PHOENIX, AZ 85040-9047
(480) 660-6647
(480) 660-6674
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/29/2023
Last updated
05/22/2025
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