# WATERMARK HOME CARE OF ARIZONA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Watermark at Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750562302
- **Authorized official:** ROBERT J MILLER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (480) 946-4145

## Contact information

- **Practice address:** 6240 E THOMAS RD, SUITE 203, SCOTTSDALE, AZ 85251-7017
- **Practice address phone:** (480) 946-4145
- **Practice address fax:** (480) 946-1280
- **Mailing address:** 6240 E THOMAS RD, SUITE 203, SCOTTSDALE, AZ 85251-7017
- **Mailing address phone:** (480) 946-4145
- **Mailing address fax:** (480) 946-1280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0882447 | AZ | Yes |

## Other

- **Enumeration date:** 11/23/2007
- **Last updated:** 06/29/2012