Provider Demographics
NPI:1447527809
Name:VISITING NURSES OF ARIZONA, INC
Entity type:Organization
Organization Name:VISITING NURSES OF ARIZONA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WENDEL
Authorized Official - Middle Name:ADRAIN
Authorized Official - Last Name:AKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:623-295-5265
Mailing Address - Street 1:10211 N 32ND ST
Mailing Address - Street 2:E1
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3828
Mailing Address - Country:US
Mailing Address - Phone:623-295-5265
Mailing Address - Fax:623-551-0838
Practice Address - Street 1:10211 N 32ND ST
Practice Address - Street 2:E1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3828
Practice Address - Country:US
Practice Address - Phone:623-295-5265
Practice Address - Fax:623-551-0838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA5238251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health