# HUALAPAI HOME HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063682920
- **Authorized official:** MRS. BEVERLY MRACEK RN (DIRECTOR)
- **Authorized official phone:** (928) 753-9015

## Contact information

- **Practice address:** 2535 HUALAPAI MOUNTAIN RD, SUITE B, KINGMAN, AZ 86401-5493
- **Practice address phone:** (928) 753-9015
- **Practice address fax:** (928) 753-8946
- **Mailing address:** 2535 HUALAPAI MOUNTAIN RD, SUITE B, KINGMAN, AZ 86401-5493
- **Mailing address phone:** (928) 753-7828
- **Mailing address fax:** (928) 753-8946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA4555 | AZ | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 05/04/2012