# FOREPAUGH HOME HEALTH CARE

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

## Provider details

- **NPI number:** 1144663394
- **Authorized official:** JAXCINE LEE ORR ACCCOUNTANT (OWNER/MANAGER)
- **Authorized official phone:** (928) 685-5215

## Contact information

- **Practice address:** 46208 W ABBOTT RD, WICKENBURG, AZ 85390-3186
- **Practice address phone:** (928) 685-5215
- **Practice address fax:** (928) 685-5215
- **Mailing address:** 46208 W ABBOTT RD, WICKENBURG, AZ 85390-3186

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2013
- **Last updated:** 04/08/2013