Provider Demographics
NPI:1609107754
Name:VIAQUEST HOME HEALTH OF ARIZONA
Entity Type:Organization
Organization Name:VIAQUEST HOME HEALTH OF ARIZONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR TREASURY/REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARTWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-339-0814
Mailing Address - Street 1:525 METRO PL N
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-5342
Mailing Address - Country:US
Mailing Address - Phone:614-339-0814
Mailing Address - Fax:614-339-1814
Practice Address - Street 1:7165 E UNIVERSITY DR
Practice Address - Street 2:STE 179-3
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-6400
Practice Address - Country:US
Practice Address - Phone:480-355-5354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health