NPI 1376908996

Westchester Tbi Home Care LLC

Organisation Point of Service Tempe, AZ

Practice location

Address: 1046 E Westchester Dr, Tempe, AZ 85283-3039
Phone: (480) 275-2221
Fax: (480) 361-6471

Authorised official

Name: Sophia Samantha Qendro
Title: Manager/Owner
Phone: (480) 275-2221

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence AL9833H (AZ)

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Registry record

NPI: 1376908996
Entity type: Organization
NPI issued: 25 Dec 2015
Record last updated: 25 Dec 2015

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.