Organization
DESERT TRAILS HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM BUTLER PAC (OWNER/ADMINISTRATOR)
(928) 444-1010
Entity
Organization
Contact information
Practice address
2771 SILVER CREEK RD, SUITE 107, BULLHEAD CITY, AZ 86442-7959
(928) 444-1010
(928) 444-1011
Mailing address
2771 SILVER CREEK RD, SUITE 107, BULLHEAD CITY, AZ 86442-7959
(928) 444-1010
(928) 444-1011
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
11/02/2012
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