Organization
CENTRAL ARIZONA HOME HEALTH CARE, INC.
Active
Other names
Gentiva I
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET COMBS (VP OF LICENSURE)
(704) 664-2876
Entity
Organization
Contact information
Practice address
1555 W IRON SPRINGS RD STE 11, PRESCOTT, AZ 86305-1395
(928) 776-1525
(928) 445-1910
Mailing address
P.O. BOX 4060, ATTN: REGULATORY, MOORESVILLE, NC 28117-1157
(704) 664-2876
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596362
—
AZ
Enumeration date
01/02/2019
Last updated
11/26/2024
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