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General NPI Number Information
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NPI Number | 1740925148
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Entity Type | Organization
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Legal Business Name | MAGGIE'S HOME HEALTH, LLC
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Dates
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Enumeration Date | 04/29/2022
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 203 S CANDY LN STE 12A
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City | COTTONWOOD
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State | AZ
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Zip | 86326-8114
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Country | US
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Telephone | 928-496-6500
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Fax | 928-496-6501
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Provider Business Mailing Address
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Address Line | 1725 E OSBORN RD
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City | PHOENIX
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State | AZ
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Zip | 85016-7123
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Country | US
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Telephone | 602-889-4400
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Fax | 602-216-6112
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CASSANDRA ARMENISE
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Credential |
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Telephone | 602-889-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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