Organization
PURPLE MOUNTAIN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE FAULKINBURY (OWNER)
(623) 221-6466
Entity
Organization
Contact information
Practice address
2501 W WICKENBURG WAY LOT 11, WICKENBURG, AZ 85390-1053
(623) 221-6466
Mailing address
2501 W WICKENBURG WAY LOT 11, WICKENBURG, AZ 85390-1053
(623) 221-6466
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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