Organization
PAYSON HOME CARE SERVICES LLC
Active
Other names
Payson Regional Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE HOLTSFORD (DIRECTOR OF BUSINESS OFFICE SUPPORT)
(615) 465-7466
Entity
Organization
Contact information
Practice address
708 E STATE HIGHWAY 260 STE A1, PAYSON, AZ 85541-4969
(928) 472-5245
(928) 472-5250
Mailing address
708 E STATE HIGHWAY 260 STE A1, PAYSON, AZ 85541-4969
(928) 472-5245
(928) 472-5250
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA0139
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394924
—
AZ
Enumeration date
09/14/2005
Last updated
06/23/2015
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