Healthcare Provider Details

I. General information

NPI: 1821269572
Provider Name (Legal Business Name): CARMO HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2008
Last Update Date: 03/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4131 E INDIAN SCHOOL RD #307
PHOENIX AZ
85018-5316
US

IV. Provider business mailing address

4131 E.INDIAN SCHOOL ROAD #307
PHOENIX AZ
85018
US

V. Phone/Fax

Practice location:
  • Phone: 602-386-9307
  • Fax:
Mailing address:
  • Phone: 602-386-9307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SAID BULKAZ
Title or Position: PRESIDENT
Credential:
Phone: 602-386-9307