Organization
PREMIER HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER D BLANCHART (OFFICE MANAGER)
(928) 377-1004
Entity
Organization
Contact information
Practice address
3555 WESTERN AVE, KINGMAN, AZ 86409
(928) 377-1004
(928) 757-7179
Mailing address
3555 WESTERN AVE, KINGMAN, AZ 86409-3011
(928) 377-1004
(928) 757-7179
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA6631
AZ
Other
Enumeration date
10/03/2014
Last updated
06/30/2015
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