03D2114999 CLIA NUMBER - Grand Canyon Home Health Care, Inc

Laboratory Demographics

CLIA Number: 03D2114999

Facility Name: Grand Canyon Home Health Care, Inc

Facility Address:
13201 N 35th Ave, Ste B16
Phoenix, AZ
ZIP 85029
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Facility Phone Number: (602) 441-2722

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1972805679

Taxonomy: 3747A0650X - Technician
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

CLIA Record

Field Name Field Value
CLIA Number 03D2114999
LAB Type HOME HEALTH AGENCY
Facility Name Grand Canyon Home Health Care, Inc
Street 13201 N 35th Ave, Ste B16
City Phoenix
State AZ
ZIP 85029
Phone (602) 441-2722

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This page was last updated on: 4/7/2021