# PATRICIA ANN CRAIGMILES HOME LIFE CARE

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

## Provider details

- **NPI number:** 1346988813
- **Authorized official:** MR. THADDEUS HIGHTOWER III (CEO)
- **Authorized official phone:** (623) 273-9040

## Contact information

- **Practice address:** 8414 W PAYSON RD, TOLLESON, AZ 85353-7620
- **Practice address phone:** (623) 216-9813
- **Practice address fax:** (623) 225-7188
- **Mailing address:** 7709 S 69TH DR, LAVEEN, AZ 85339-3433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2022
- **Last updated:** 05/24/2022