Organization
SHI HEART HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J HUGHES (OWNER)
(928) 729-5319
Entity
Organization
Contact information
Practice address
NORTH ROUTE 7, MILEPOST 1.5, OLD CRYSTAL ROAD, FORT DEFIANCE, AZ 86504
(928) 729-5319
(928) 729-5526
Mailing address
PO BOX 2180, FORT DEFIANCE, AZ 86504-2180
(928) 729-5319
(928) 729-5526
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
769705
—
AZ
Enumeration date
06/18/2007
Last updated
06/06/2008
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