Organization
ARIZONA IN-HOME PARTNER-II, LLC
Active
Other names
Valley View Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (SECRETARY)
(337) 233-1307
Entity
Organization
Contact information
Practice address
2020 SILVER CREEK RD STE 114, BULLHEAD CITY, AZ 86442-8476
(928) 788-4140
(928) 788-4148
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340138
—
AZ
Enumeration date
01/31/2017
Last updated
10/19/2020
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