Organization
WICKENBURG HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAFAYE J HOUSE (BOOKKEEPER)
(928) 684-3201
Entity
Organization
Contact information
Practice address
1020 W WICKENBURG WAY, STE 4, WICKENBURG, AZ 85390-3290
(928) 684-3201
(928) 684-0684
Mailing address
PO BOX 20237, WICKENBURG, AZ 85358-5237
(928) 684-3201
(928) 684-0684
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
L13325529
AZ
374U00000X
Home Health Aide
L13325529
AZ
376J00000X
Homemaker
L13325529
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198634
—
AZ
Enumeration date
05/21/2007
Last updated
09/11/2025
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