# MY DAUGHTER'S HOME HEALTH AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MTN Home Health, Mountain Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265284202
- **Authorized official:** HOLLY PEDERSEN (OWNER/PRESIDENT)
- **Authorized official phone:** (928) 205-3368

## Contact information

- **Practice address:** 5300 S SUTTER DR STE 11, SHOW LOW, AZ 85901-8055
- **Practice address phone:** (928) 251-3181
- **Practice address fax:** (928) 251-3182
- **Mailing address:** 5300 S SUTTER DR STE 11, SHOW LOW, AZ 85901-8055
- **Mailing address phone:** (928) 251-3181
- **Mailing address fax:** (928) 251-3182

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2024
- **Last updated:** 06/25/2026
