| Philia Homecare Llc | |
|
6431 W Branham Ln Laveen AZ 85339-2786 | |
| (602) 750-6204 | |
| (888) 412-6713 |
| Full Name | Philia Homecare Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6431 W Branham Ln, Laveen, Arizona |
| Authorized Official Name and Position | Miguel Denga (OWNER) |
| Authorized Official Contact | 6027506204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philia Homecare Llc 6431 W Branham Ln Laveen AZ 85339-2786 Ph: (602) 750-6204 | Philia Homecare Llc 6431 W Branham Ln Laveen AZ 85339-2786 Ph: (602) 750-6204 |
| NPI Number | 1932693207 |
|---|---|
| Provider Enumeration Date | 06/19/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932693207 | NPI | - | NPPES |
| B13912329 | Other | AZ | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | BH5379 (Arizona) | Primary |
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