Organization
MOTHER TERESA HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILOMINDA OSBORNE RN (ADMINISTRATOR)
(602) 358-8179
Entity
Organization
Contact information
Practice address
10640 N 28TH DR, SUITE C-205-17, PHOENIX, AZ 85029-4527
(602) 358-8179
(602) 997-6048
Mailing address
10640 N 28TH DRIVE, SUITE C-205-17, PHOENIX, AZ 85029-2963
(602) 358-8179
(602) 997-6048
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA4579
AZ
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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