# SHI HEART HOME HEALTH

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

## Provider details

- **NPI number:** 1104021302
- **Authorized official:** MR. MICHAEL J HUGHES (OWNER)
- **Authorized official phone:** (928) 729-5319

## Contact information

- **Practice address:** NORTH ROUTE 7, MILEPOST 1.5, OLD CRYSTAL ROAD, FORT DEFIANCE, AZ 86504
- **Practice address phone:** (928) 729-5319
- **Practice address fax:** (928) 729-5526
- **Mailing address:** PO BOX 2180, FORT DEFIANCE, AZ 86504-2180
- **Mailing address phone:** (928) 729-5319
- **Mailing address fax:** (928) 729-5526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 06/06/2008