Src1 II LLC

NPI #1013088780 in Scottsdale, Arizona

Provider Information

NPI Number: 1013088780
Entity Type: Organization
Organization Name: Src1 II LLC
Primary Specialty: Home Health
Enumeration Date: Nov 13, 2006
Last Updated: Jul 11, 2008

Practice Location

Address: 6240 E THOMAS RD
Address 2: SUITE 203
City: Scottsdale
State: Arizona
ZIP Code: 85251-7017
Phone: (480) 946-4145

Authorized Official

Name: MRS. PATRICIA ANN KUZIA, RN
Title: EXECUTIVE DIRECTOR
Phone: (480) 946-4145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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