Organization
HOME SWEET HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA G JONES (OWNER)
(928) 675-0645
Entity
Organization
Contact information
Practice address
1 MILE S. OF OLD SELINA STORE, CHINLE, AZ 86503
(928) 675-0645
(928) 729-5115
Mailing address
PO BOX 3229, CHINLE, AZ 86503-3229
(928) 675-0645
(928) 729-5115
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
695737
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
695737
—
AZ
Enumeration date
07/16/2012
Last updated
07/16/2012
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