# FAMILY CARE HOME HEALTH & HOSPICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAMILY CARE HOME HEALTH AGENCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346856374
- **Authorized official:** MOHAMMED AHMED (MANAGER)
- **Authorized official phone:** (928) 299-5100

## Contact information

- **Practice address:** 1695 MESQUITE AVE STE 108, LAKE HAVASU CITY, AZ 86403-5684
- **Practice address phone:** (928) 302-3338
- **Practice address fax:** (928) 302-3339
- **Mailing address:** 1695 MESQUITE AVE STE 108, LAKE HAVASU CITY, AZ 86403-5684
- **Mailing address phone:** (928) 302-3338

## Taxonomy

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

## Other

- **Enumeration date:** 09/16/2020
- **Last updated:** 05/26/2024