# RAICES Y HOME CARE LLC

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

## Provider details

- **NPI number:** 1750237970
- **Authorized official:** MR. FREDY A ULLOA JR. (OWNER)
- **Authorized official phone:** (323) 767-4895

## Contact information

- **Practice address:** 15254 S AVENIDA RANCHO SERENO, SAHUARITA, AZ 85629-9084
- **Practice address phone:** (323) 767-4895
- **Mailing address:** 15254 S AVENIDA RANCHO SERENO, SAHUARITA, AZ 85629-9084
- **Mailing address phone:** (323) 767-4895

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2026
- **Last updated:** 03/09/2026