Organization
DREAMCATCHER HOME CARE AND TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN WARTZ (PRESIDENT)
(928) 725-2090
Entity
Organization
Contact information
Practice address
100 NORTH NAVAJO ROUTE 673, WHIPPOORWILL, PINON, AZ 86510
(928) 725-2090
Mailing address
PO BOX 1212, PINON, AZ 86510-1212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
604482
—
AZ
Enumeration date
03/09/2021
Last updated
03/30/2021
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