Organization
STELLAR HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD B DIETHRICH (CHIEF EXECUTIVE OFFICER)
(602) 315-4491
Entity
Organization
Contact information
Practice address
2150 E HIGHLAND AVE, SUITE 105, PHOENIX, AZ 85016
(480) 447-3262
(480) 546-4103
Mailing address
2150 E HIGHLAND AVE, SUITE 105, PHOENIX, AZ 85016
(480) 447-3262
(480) 546-4103
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336048
—
AZ
Enumeration date
04/14/2017
Last updated
10/23/2024
About Stedi
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