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NPI Code Detail

MEDICARE: COMPASSIONATE WAYS LLC

MEDICARE: COMPASSIONATE WAYS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251F00000XHome Infusion Agency
2253Z00000XIn Home Supportive Care Agency
3343900000XNon-emergency Medical Transport (VAN)
4385H00000XRespite Care
5251E00000XHome Health Agency

General Provider Information

NPI Number : 1033984786
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSIONATE WAYS LLC
Provider Business Mailing Address
First Line : 1321 S 121ST DR
Second Line :
City : AVONDALE
State : AZ
Zip : 85323-8145
Country : US
Telephone Number : 602-732-9395
Fax Number :
Provider Business Practice Location Address
First Line : 2390 E CAMELBACK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-3448
Country : US
Telephone Number : 877-989-7191
Fax Number :
Authorized Official
Title or Position : CEO
Name : NYESHA MALONE
Credential :
Telephone Number : 602-732-9395
Provider Enumeration Date : 11/21/2023
Last Update Date : 11/21/2023

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Directions to “COMPASSIONATE WAYS LLC ” Practice Location

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