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Organization

FIRST SOURCE HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN ANDAZOLA NONE (CEO)
(480) 450-0847
Entity
Organization

Contact information

Practice address
9375 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85260-6986
(480) 450-0847
Mailing address
9375 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85260-6986
(480) 450-0847

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
12/04/2025
Last updated
12/04/2025
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