Provider Demographics
NPI:1114663366
Name:SANCHEZ, MARIA GLORIA (HOME HEALTH PROVIDER)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:GLORIA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:HOME HEALTH PROVIDER
Other - Prefix:
Other - First Name:MARIA GLORIA
Other - Middle Name:
Other - Last Name:SANCHEZ DIAZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LLC
Mailing Address - Street 1:1632 W THUNDERBIRD RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-6305
Mailing Address - Country:US
Mailing Address - Phone:148-066-7088
Mailing Address - Fax:
Practice Address - Street 1:1632 W THUNDERBIRD RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-6305
Practice Address - Country:US
Practice Address - Phone:148-066-7088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ86-1958212374U00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ86-1958212OtherHOME HEALTH CARE