Organization
TENDER HEARTS SENIOR CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA LYNN JUDY RN (VICE PRESIDENT)
(928) 777-2394
Entity
Organization
Contact information
Practice address
1129 W IRON SPRINGS RD, STE 108A, PRESCOTT, AZ 86305-1623
(928) 777-2394
(866) 310-1794
Mailing address
1129 W IRON SPRINGS RD, STE 108A, PRESCOTT, AZ 86305-1623
(928) 777-2394
(866) 310-1794
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237523
—
AZ
Enumeration date
09/15/2008
Last updated
09/15/2008
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