Organization
LOS NINOS INNOVATIVE HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE J ZAUTKE (PROGRAM ADMINISTRATOR)
(602) 305-9500
Entity
Organization
Contact information
Practice address
2601 E THOMAS RD, SUITE 230, PHOENIX, AZ 85016-8221
(602) 305-9500
(602) 305-9501
Mailing address
1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-7925
(602) 243-4231
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LP034892
AZ
Other
Enumeration date
10/05/2012
Last updated
02/13/2025
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