03D2125386 CLIA NUMBER - INBALANCE HOME HEALTH LLC

Laboratory Demographics

CLIA Number: 03D2125386

Facility Name: INBALANCE HOME HEALTH LLC

Facility Address:
36457 N GANTZEL ROAD
SAN TAN VALLEY, AZ
ZIP 85140
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Facility Phone Number: (480) 494-6622

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1962955708

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	03D2125386
LAB Type	HOME HEALTH AGENCY
Facility Name	INBALANCE HOME HEALTH LLC
Street	36457 N GANTZEL ROAD
City	SAN TAN VALLEY
State	AZ
ZIP	85140
Phone	(480) 494-6622

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Laboratory Demographics

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