# PAYSON HOME CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Payson Regional Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568457612
- **Authorized official:** MS. LAURIE HOLTSFORD (DIRECTOR OF BUSINESS OFFICE SUPPORT)
- **Authorized official phone:** (615) 465-7466

## Contact information

- **Practice address:** 708 E STATE HIGHWAY 260 STE A1, PAYSON, AZ 85541-4969
- **Practice address phone:** (928) 472-5245
- **Practice address fax:** (928) 472-5250
- **Mailing address:** 708 E STATE HIGHWAY 260 STE A1, PAYSON, AZ 85541-4969
- **Mailing address phone:** (928) 472-5245
- **Mailing address fax:** (928) 472-5250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA0139 | AZ | Yes |

## Other

- **Enumeration date:** 09/14/2005
- **Last updated:** 06/23/2015
