Organization
CENTRAL ARIZONA HOME HEALTH CARE, INC.
Active
Other names
Gentiva I
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VP OF LICENSURE)
(704) 662-1761
Entity
Organization
Contact information
Practice address
3107 CLEARWATER DR STE B, PRESCOTT, AZ 86305-7167
(928) 460-5965
(928) 776-1763
Mailing address
PO BOX 4060, MOORESVILLE, NC 28117-4060
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSPC3752
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082664
—
AZ
05
—
596362
—
AZ
Enumeration date
05/16/2006
Last updated
01/17/2023
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