Organization
DIXIE ROSE ENTERPRISES
Active
Other names
Homewatch CareGivers of Tempe and Sun Lakes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D STINSON (OWNER/GENERAL MANAGER)
(480) 887-0322
Entity
Organization
Contact information
Practice address
6101 S RURAL RD, #117, TEMPE, AZ 85283-2910
(480) 887-0322
Mailing address
6101 S RURAL RD, #117, TEMPE, AZ 85283-2910
(480) 887-0322
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052475
—
AZ
Enumeration date
09/02/2016
Last updated
09/02/2016
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