| Organization Name: | UNIVERSAL IN-HOME SUPPORTIVE SERIVICES |
| NPI Number: | 1235537879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIKTOR STERN (MANAGER) |
| Mailing Address: | 3639 E Louise Dr Phoenix |
| State: | AZ US |
| Postal Code: | 850508310 |
| Phone Number: | 4806597561 |
| Fax Number: | 4806598164 |
| NPI Enumeration Date: | 12/14/2014 |
| NPI Last Update Date: | 12/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 07-599063-B |
| 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 |