Organization
CASA GRANDE HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN JUSTIMBASTE RN BSN (ADMINISTRATOR)
(623) 206-7386
Entity
Organization
Contact information
Practice address
4745 N 7TH ST, 240, PHOENIX, AZ 85014-3665
(623) 206-7386
Mailing address
4745 N 7TH ST, 240, PHOENIX, AZ 85014-3665
(623) 206-7386
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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