Organization
CANYON BULLHEAD HOME HEALTH LLC
Active
Other names
Canyon Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
BREEZIE LISKEY (VP OF OPERATIONS)
(801) 456-7874
Entity
Organization
Contact information
Practice address
2031 HWAY 95 STE 2, BULLHEAD CITY, AZ 86442-6004
(928) 605-4009
(928) 605-4644
Mailing address
450 S 900 E STE 100, SALT LAKE CITY, UT 84102-2983
(801) 456-7874
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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