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NPI Code Detail

MEDICARE: GREGNELL LTD

MEDICARE: GREGNELL LTD
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1740262831
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREGNELL LTD
Provider Business Mailing Address
First Line : 16851 E PARKVIEW AVE
Second Line : P.O. BOX 20377
City : FOUNTAIN HILLS
State : AZ
Zip : 85268-3992
Country : US
Telephone Number : 480-837-1550
Fax Number : 480-837-1811
Provider Business Practice Location Address
First Line : 16851 E PARKVIEW AVE
Second Line : SUITE 201,202
City : FOUNTAIN HILLS
State : AZ
Zip : 85268-3992
Country : US
Telephone Number : 480-837-1550
Fax Number : 480-837-1811
Authorized Official
Title or Position : SECRETARY/TREASURER
Name : GREG PIWOWARCZYK
Credential :
Telephone Number : 480-837-1550
Provider Enumeration Date : 11/15/2005
Last Update Date : 07/13/2007

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