Provider Demographics
NPI:1811139504
Name:JUNO HEALTHCARE-ARIZONA LLC
Entity type:Organization
Organization Name:JUNO HEALTHCARE-ARIZONA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-274-2000
Mailing Address - Street 1:3838 N CENTRAL AVE
Mailing Address - Street 2:STE 1820
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1906
Mailing Address - Country:US
Mailing Address - Phone:602-274-2000
Mailing Address - Fax:602-274-2250
Practice Address - Street 1:3838 N CENTRAL AVE
Practice Address - Street 2:STE 1820
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1906
Practice Address - Country:US
Practice Address - Phone:602-274-2000
Practice Address - Fax:602-274-2250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health