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1114770641
LILLY HOMECARE LLC
AVONDALE, AZ
NPI
1114770641
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Entity Type
Organization
Authorized Contact
KAVIN STEPHENSON
Owner
602-332-8199
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-04-05
Last Update Date
2024-04-05
Business Address
LILLY HOMECARE LLC
12218 W MONROE ST
AVONDALE, AZ 85323-8080
Phone number: 602-332-8199
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Mailing Address
LILLY HOMECARE LLC
12218 W MONROE ST
AVONDALE, AZ 85323-8080
Phone number:
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