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Organization

HEALTH ANGELS COMPANION CARE, INC.

Active
Other names
Health Angels Companion Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LOUIS 'GERI' G. PEDERSON C.N.A. (PRESIDENT)
(928) 368-4889
Entity
Organization

Contact information

Practice address
1001 E. HUNING, SHOW LOW, AZ 85901
(520) 955-1285
(925) 537-3317
Mailing address
P.O. BOX 1249, LAKESIDE, AZ 85929-1249
(520) 955-1285
(928) 537-3317

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
CNA999987899
AZ
251J00000X
Nursing Care Agency
347C00000X
Private Vehicle
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide
Primary
385H00000X
Respite Care

Other

Enumeration date
06/27/2008
Last updated
08/12/2008
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