Organization
ARIZONA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE ERICKSON RN (DON)
(602) 252-5000
Entity
Organization
Contact information
Practice address
2502 N 1ST AVE STE 100, TUCSON, AZ 85719-2909
(602) 252-5000
(602) 323-5070
Mailing address
2502 N 1ST AVE STE 100, TUCSON, AZ 85719-2909
(602) 252-5000
(602) 323-5070
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA0268
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037199
MEDICARE PART A PTAN
AZ
Enumeration date
11/30/2011
Last updated
09/10/2012
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