Organization
PHOENIX AZ HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLITO MALICDEM (MEMBER)
(480) 979-6741
Entity
Organization
Contact information
Practice address
1825 E NORTHERN AVE, SUITE 100, PHOENIX, AZ 85020
(623) 337-7480
Mailing address
1825 E NORTHERN AVE, SUITE 100, PHOENIX, AZ 85020
(623) 337-7480
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
10/09/2025
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