# HERITAGE HOME HEALTH CARE OF ARIZONIA

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

## Provider details

- **NPI number:** 1831207497
- **Authorized official:** STEVE BOURNE (CFO)
- **Authorized official phone:** (505) 796-3236

## Contact information

- **Practice address:** 317 E COTTONWOOD LN, SUITE B, CASA GRANDE, AZ 85222-2517
- **Practice address phone:** (520) 421-0097
- **Practice address fax:** (520) 421-0136
- **Mailing address:** 8212 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87113-2105
- **Mailing address phone:** (505) 796-3236
- **Mailing address fax:** (505) 796-3234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA4001 | AZ | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 08/22/2020