Organization
HUALAPAI HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY MRACEK RN (DIRECTOR)
(928) 753-9015
Entity
Organization
Contact information
Practice address
2535 HUALAPAI MOUNTAIN RD, SUITE B, KINGMAN, AZ 86401-5493
(928) 753-9015
(928) 753-8946
Mailing address
2535 HUALAPAI MOUNTAIN RD, SUITE B, KINGMAN, AZ 86401-5493
(928) 753-7828
(928) 753-8946
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA4555
AZ
Other
Enumeration date
03/06/2008
Last updated
05/04/2012
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