Provider Demographics
NPI:1609174127
Name:SONORA HOME HEALTH PLLC
Entity Type:Organization
Organization Name:SONORA HOME HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIANDRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-225-8779
Mailing Address - Street 1:11124 W CALIFORNIA AVE
Mailing Address - Street 2:STE D
Mailing Address - City:YOUNGTOWN
Mailing Address - State:AZ
Mailing Address - Zip Code:85363-1246
Mailing Address - Country:US
Mailing Address - Phone:480-225-8779
Mailing Address - Fax:
Practice Address - Street 1:11124 W CALIFORNIA AVE
Practice Address - Street 2:STE D
Practice Address - City:YOUNGTOWN
Practice Address - State:AZ
Practice Address - Zip Code:85363-1246
Practice Address - Country:US
Practice Address - Phone:480-225-8779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA4989251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health