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NPI Code Detail

MEDICARE: ALL HOME CARE LLC

MEDICARE: ALL HOME CARE LLC
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
1251J00000XNursing Care Agency
2253Z00000XIn Home Supportive Care Agency
3251E00000XHome Health Agency

General Provider Information

NPI Number : 1063835973
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL HOME CARE LLC
Provider Business Mailing Address
First Line : 3101 N CENTRAL AVE
Second Line : SUITE 160
City : PHOENIX
State : AZ
Zip : 85012-2645
Country : US
Telephone Number : 602-626-8345
Fax Number : 602-626-8840
Provider Business Practice Location Address
First Line : 3101 N CENTRAL AVE
Second Line : SUITE 160
City : PHOENIX
State : AZ
Zip : 85012-2645
Country : US
Telephone Number : 602-626-8345
Fax Number : 602-626-8840
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MS. DEBORAH M GIDEON
Credential : RN
Telephone Number : 602-505-3272
Provider Enumeration Date : 01/28/2014
Last Update Date : 02/03/2017

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Directions to “ALL HOME CARE LLC ” Practice Location

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