Organization
MOUNTAIN VIEW HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALENA MAE DAVIS (OWNER)
(928) 551-3570
Entity
Organization
Contact information
Practice address
COUNTY RD 444, 1.5 MI NE, TSAILE, AZ 86556
(928) 724-3522
Mailing address
PO BOX 769, CHINLE, AZ 86503
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
01/28/2021
Last updated
02/19/2021
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