Organization
HOME HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK W GRIFFIN (PRESIDENT)
(706) 303-5500
Entity
Organization
Contact information
Practice address
2421 E SOUTHERN AVE STE 1, TEMPE, AZ 85282-7612
(480) 413-9087
(480) 413-9092
Mailing address
PO BOX 200, AUGUSTA, GA 30903-0200
(706) 303-5500
(706) 854-7382
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA1412
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA1412
STATE HHA LICENSE #
AZ
Enumeration date
04/12/2007
Last updated
02/24/2016
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