Organization
AT HOME MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RAFFERTY RN MSN ANP BC (OWNER/PROVIDER)
(520) 940-1119
Entity
Organization
Contact information
Practice address
3901 W OASIS DR, TUCSON, AZ 85742-9513
(520) 940-1119
(520) 744-6697
Mailing address
3901 W OASIS DR, TUCSON, AZ 85742-9513
(520) 940-1119
(520) 744-6697
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AP3427
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770715070
INDIVIDUAL NUMBER
AZ
Enumeration date
07/20/2010
Last updated
07/20/2010
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