Provider Demographics
NPI:1861893174
Name:STRONG HOLD HOME HEALTH, INC.
Entity type:Organization
Organization Name:STRONG HOLD HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIYAVORA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:602-944-1790
Mailing Address - Street 1:2301 W DUNLAP AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-2844
Mailing Address - Country:US
Mailing Address - Phone:602-944-1790
Mailing Address - Fax:602-943-1055
Practice Address - Street 1:2301 W DUNLAP AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-2844
Practice Address - Country:US
Practice Address - Phone:602-944-1790
Practice Address - Fax:602-943-1055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-07
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health