# WESTERN ARIZONA REGIONAL HOME HEALTH AND HOSPICE, LLC

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

## Provider details

- **NPI number:** 1710972856
- **Authorized official:** PATRICK TODD LYLES (SR VICE PRESIDENT)
- **Authorized official phone:** (502) 891-1044

## Contact information

- **Practice address:** 2020 SILVER CREEK RD, BLDG A - STE 114, BULLHEAD CITY, AZ 86442-8476
- **Practice address phone:** (928) 763-3184
- **Practice address fax:** (928) 763-4122
- **Mailing address:** 9510 ORMSBY STATION RD, STE 300, LOUISVILLE, KY 40223-4081
- **Mailing address phone:** (502) 891-1187
- **Mailing address fax:** (502) 891-8067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA3820 | AZ | Yes |

## Other

- **Enumeration date:** 09/14/2005
- **Last updated:** 01/07/2017
