03D2107043 CLIA NUMBER - ARIZONA SELECT HOME HEALTH, INC

Laboratory Demographics

CLIA Number: 03D2107043

Facility Name: ARIZONA SELECT HOME HEALTH, INC

Facility Address:
13416 N 32ND ST STE 109
PHOENIX, AZ
ZIP 85032
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Facility Phone Number: (480) 428-3526

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1295137362

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Field Name	Field Value
CLIA Number	03D2107043
LAB Type	HOME HEALTH AGENCY
Facility Name	ARIZONA SELECT HOME HEALTH, INC
Street	13416 N 32ND ST STE 109
City	PHOENIX
State	AZ
ZIP	85032
Phone	(480) 428-3526

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Laboratory Demographics

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