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Organization
ATLANTIC HOME HEALTH CARE, LLC
Active
Organization
ATLANTIC HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI JACKSON (DIRECTOR OF CLINICAL SERVICES)
(941) 257-4285
Entity
Organization
Contact information
Practice address
1280 S 20TH AVE STE A, SAFFORD, AZ 85546-3378
(928) 792-4354
Mailing address
885 PENNIMAN AVE UNIT 6426, PLYMOUTH, MI 48170-7722
(888) 891-0786
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA4225
AZ
302R00000X
Health Maintenance Organization
L13170568
AZ
Other
Enumeration date
12/11/2006
Last updated
12/12/2022
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