MEDICARE: APPLE TREE HOME HEALTH, PLLC

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1417239732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLE TREE HOME HEALTH, PLLC

Provider Business Mailing Address
First Line	:	17220 N BOSWELL BLVD STE 230E
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85373-2068
Country	:	US
Telephone Number	:	623-298-4794
Fax Number	:

Provider Business Practice Location Address
First Line	:	17220 N BOSWELL BLVD STE 230E
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85373-2068
Country	:	US
Telephone Number	:	623-298-4794
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. MICHELLE LEIGH DILS
Credential	:
Telephone Number	:	623-298-4794

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	09/13/2011

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