Healthcare Provider Details

I. General information

NPI: 1790607299
Provider Name (Legal Business Name): DELIGHT THRIVE LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5102 N 11TH AVE APT C102
PHOENIX AZ
85013-2162
US

IV. Provider business mailing address

5102 N 11TH AVE APT C102
PHOENIX AZ
85013-2162
US

V. Phone/Fax

Practice location:
  • Phone: 701-219-8621
  • Fax:
Mailing address:
  • Phone: 701-219-8621
  • Fax:

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: SARPHINA ARESIO SURUR
Title or Position: CEO
Credential:
Phone: 701-219-8621