# LIFE CARE AT HOME OF ARIZONA, INC.

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

## Provider details

- **NPI number:** 1740271733
- **Authorized official:** PAM RAU (VP OF FINANCE)
- **Authorized official phone:** (423) 473-5280

## Contact information

- **Practice address:** 1661 E CAMELBACK RD, SUITE 255, PHOENIX, AZ 85016-3911
- **Practice address phone:** (480) 991-3303
- **Practice address fax:** (480) 922-4944
- **Mailing address:** 3001 KEITH ST NW, CLEVELAND, TN 37312-3713
- **Mailing address phone:** (423) 473-5256
- **Mailing address fax:** (423) 339-8356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA 1446 | AZ | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 07/06/2010
