Organization
ATLANTIC HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI JACKSON (DIRECTOR OF CLINICAL SERVICES)
(941) 257-4285
Entity
Organization
Contact information
Practice address
1280 S 20TH AVE STE A, SAFFORD, AZ 85546-3378
(928) 792-4354
Mailing address
885 PENNIMAN AVE UNIT 6426, PLYMOUTH, MI 48170-7722
(888) 891-0786
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA4225
AZ
302R00000X
Health Maintenance Organization
L13170568
AZ
Other
Enumeration date
12/11/2006
Last updated
12/12/2022
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