Whalio Doctors

NPI 1164850517

Enliven Home Infusion Specialists, LLC

Organisation Home Infusion Agency Avondale, AZ

Practice location

Address
11875 W McDowell Rd APT 1168, Avondale, AZ 85392-3105
Phone
(623) 698-4725

Authorised official

Name
Erick Miramontes
Title
President
Phone
(623) 698-4725

Registered specialties

Home Infusion Agency Primary
Agencies Taxonomy 251F00000X Licence L18512080 (AZ)

Registry record

NPI
1164850517
Entity type
Organization
NPI issued
23 Oct 2013
Record last updated
23 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.