Organization
VILLARAZA CORPORATION
Active
Other names
DBA: Victory Home Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA LORANE TEJADA WARD RN (ADMINISTRATOR)
(480) 726-6553
Entity
Organization
Contact information
Practice address
1212 N SPENCER, SUITE 1, MESA, AZ 85203-4347
(480) 726-6553
(480) 726-3329
Mailing address
P.O. BOX 790, MESA, AZ 85211-0790
(480) 726-6553
(480) 726-3329
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA 3549
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA 3549
STATE LICENSE NUMBER
AZ
Enumeration date
08/10/2005
Last updated
04/02/2012
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