Organization
HIGH DESERT HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANISSA R. LEE (OWNER)
(505) 608-5805
Entity
Organization
Contact information
Practice address
1/2 MILE SOUTHWEST FROM COVE CHAPTER HOUSE, RED VALLEY, AZ 86544
(505) 608-5805
Mailing address
PO BOX 454, RED VALLEY, AZ 86544-0454
(505) 608-5805
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
516537
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
516537
—
AZ
Enumeration date
06/03/2010
Last updated
08/10/2010
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