Organization
AT HOME BY CHOICE ASSISTED CARE, INC
Active
Other names
Comfort Keepers
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA BIRNBAUM (PRESIDENT)
(928) 855-0005
Entity
Organization
Contact information
Practice address
2126 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-6742
(928) 855-0005
(928) 855-0075
Mailing address
2126 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-6742
(928) 855-0005
(928) 855-0075
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167215
—
AZ
Enumeration date
05/16/2007
Last updated
08/22/2020
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