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NPI Code Detail

MEDICARE: MATREAD CARE, LLC

MEDICARE: MATREAD CARE, 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1134759244
Entity Type Code : Organization
Provider Name (Legal Business Name) : MATREAD CARE, LLC
Provider Business Mailing Address
First Line : 2777 S ARIZONA AVE APT 1095
Second Line :
City : CHANDLER
State : AZ
Zip : 85286-1805
Country : US
Telephone Number : 302-669-5402
Fax Number :
Provider Business Practice Location Address
First Line : 64 E BROADWAY RD STE 200
Second Line :
City : TEMPE
State : AZ
Zip : 85282-1377
Country : US
Telephone Number : 480-525-3405
Fax Number :
Authorized Official
Title or Position : CEO
Name : JULIET C KESHINRO
Credential : PROVIDER
Telephone Number : 302-669-5402
Provider Enumeration Date : 01/17/2020
Last Update Date : 02/12/2020

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Directions to “MATREAD CARE, LLC ” Practice Location

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