Organization Name: | SOUTHWEST INDEPENDENCE, L.L.C. |
NPI Number: | 1083918866 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TYLER S. FARMER (OWNER) |
Mailing Address: | 22239 N 17th Pl Phoenix |
State: | AZ US |
Postal Code: | 850245615 |
Phone Number: | 6233440399 |
Fax Number: | 6232189095 |
NPI Enumeration Date: | 01/07/2011 |
NPI Last Update Date: | 01/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | NA |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |