Organization
ELDERCARE FOR LIFE INC
Active
Other names
Thoroughcare Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA VANDIVORT MD (PRESIDENT)
(520) 803-1234
Entity
Organization
Contact information
Practice address
4524 EAST HEREFORD ROAD, HEREFORD, AZ 85615-9283
(520) 803-1234
(520) 803-6552
Mailing address
PO BOX 429, HEREFORD, AZ 85615-0429
(520) 803-1234
(520) 803-6552
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-4118
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003082975
THOROUGHCARE REHABILITATION
AZ
05
—
1013175512
—
AZ
05
—
1205023074
—
AZ
Enumeration date
09/26/2007
Last updated
02/25/2013
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