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Organization

PURPOSE OF LIFE HOMECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEONDRALIQUE GREENE (DIRECTOR)
(817) 404-6150
Entity
Organization

Contact information

Practice address
1616 E MAIN ST STE 236, MESA, AZ 85203-9018
(575) 216-4212
Mailing address
6300 RIVERSIDE PLAZA LN NW STE 118, ALBUQUERQUE, NM 87120-2617

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
12/02/2025
Last updated
12/16/2025
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