Provider Demographics
NPI:1003100918
Name:CANUHEARWELL
Entity Type:Organization
Organization Name:CANUHEARWELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BC HIS
Authorized Official - Phone:480-964-2386
Mailing Address - Street 1:1441 E BROADWAY RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-2329
Mailing Address - Country:US
Mailing Address - Phone:480-964-2386
Mailing Address - Fax:480-964-1134
Practice Address - Street 1:1441 E BROADWAY RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-2329
Practice Address - Country:US
Practice Address - Phone:480-964-2386
Practice Address - Fax:480-964-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4266251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health