Organization
OUR 2ND CHANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHYIRENE ANGULO SUBERRE (STATUTORY AGENT)
(928) 509-4809
Entity
Organization
Contact information
Practice address
168 S 16TH AVE, YUMA, AZ 85364-1931
(928) 509-4809
Mailing address
168 S 16TH AVE, YUMA, AZ 85364-1931
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/03/2026
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