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Organization

ENLIVEN SPECIALTY NURSING OF TEXAS, LLC

Active
Parent organization
ENLIVEN HOLDINGS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ENLIVEN HOLDINGS, LLC
Authorized official
DUSTIN CROWE RN (CHIEF NURSING OFFICER)
(602) 549-0714
Entity
Organization

Contact information

Practice address
700 N ESTRELLA PKWY STE 235, GOODYEAR, AZ 85338-9332
(623) 478-2797
Mailing address
14122 W MCDOWELL RD STE 105, GOODYEAR, AZ 85395-2503
(623) 478-2797

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
07/24/2018
Last updated
11/06/2020
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