Healthcare Provider Details

I. General information

NPI: 1487562724
Provider Name (Legal Business Name): EUSON CORE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E BETHANY HOME RD STE C182
PHOENIX AZ
85012-1295
US

IV. Provider business mailing address

301 E BETHANY HOME RD STE C182
PHOENIX AZ
85012-1295
US

V. Phone/Fax

Practice location:
  • Phone: 602-731-8420
  • Fax: 602-731-8562
Mailing address:
  • Phone: 602-731-8420
  • Fax: 602-731-8562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE UWANA OKAFOR
Title or Position: OWNER
Credential:
Phone: 443-355-5697