Organization
HERITAGE WEST HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY L PETERSON (MEMBER)
(928) 925-5772
Entity
Organization
Contact information
Practice address
1485 S COLORADO BLVD STE 160, DENVER, CO 80222-3640
(928) 925-5772
(928) 443-9332
Mailing address
PO BOX 10276, PRESCOTT, AZ 86304-0276
(928) 925-5772
(928) 443-9331
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/12/2010
Last updated
07/11/2011
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