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Organization

WESTERN ARIZONA REGIONAL HOME HEALTH AND HOSPICE, LLC

Active
Other names
Mohave Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK TODD LYLES (SR VICE PRESIDENT)
(502) 891-1044
Entity
Organization

Contact information

Practice address
2020 SILVER CREEK RD, BLDG A - STE 114, BULLHEAD CITY, AZ 86442-8476
(928) 763-3184
(928) 763-4122
Mailing address
9510 ORMSBY STATION RD, STE 300, LOUISVILLE, KY 40223-4081
(502) 891-1187
(502) 891-8067

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA3820
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HHA3820
AZ LICENCE NO.
AZ
Enumeration date
09/14/2005
Last updated
01/07/2017
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