# HUACHUCA HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1417776501
- **Authorized official:** AMBER L TUELLER (TREASURER)
- **Authorized official phone:** (208) 207-2726

## Contact information

- **Practice address:** 1048 E FRY BLVD STE F, SIERRA VISTA, AZ 85635-2683
- **Practice address phone:** (520) 458-9450
- **Mailing address:** 1048 E FRY BLVD STE F, SIERRA VISTA, AZ 85635-2683
- **Mailing address phone:** (520) 458-9450

## Taxonomy

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

## Other

- **Enumeration date:** 10/07/2024
- **Last updated:** 10/07/2024