Provider First Line Business Practice Location Address:
MY HOME CARE ADULT ASSISTED LIVING FACILITY, LLC.
Provider Second Line Business Practice Location Address:
2607 WEST CURRY STREET
Provider Business Practice Location Address City Name:
CHANDLER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85224-1040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-330-6850
Provider Business Practice Location Address Fax Number:
480-897-6043
Provider Enumeration Date:
08/08/2018