Organization
LIFE CARE AT HOME OF ARIZONA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM RAU (VP OF FINANCE)
(423) 473-5280
Entity
Organization
Contact information
Practice address
1661 E CAMELBACK RD, SUITE 255, PHOENIX, AZ 85016-3911
(480) 991-3303
(480) 922-4944
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5256
(423) 339-8356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA 1446
AZ
Other
Enumeration date
10/31/2005
Last updated
07/06/2010
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