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Organization

FOREPAUGH HOME HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAXCINE LEE ORR ACCCOUNTANT (OWNER/MANAGER)
(928) 685-5215
Entity
Organization

Contact information

Practice address
46208 W ABBOTT RD, WICKENBURG, AZ 85390-3186
(928) 685-5215
(928) 685-5215
Mailing address
46208 W ABBOTT RD, WICKENBURG, AZ 85390-3186

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
04/08/2013
Last updated
04/08/2013
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