Organization
THE CARING PRESENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON HOAGLUND (GENERAL MANAGER)
(928) 771-0701
Entity
Organization
Contact information
Practice address
1024 WILLOW CREEK RD STE B, PRESCOTT, AZ 86301-1610
(928) 771-0701
Mailing address
1024 WILLOW CREEK RD STE B, PRESCOTT, AZ 86301-1610
(928) 771-0701
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100261
BRIDGEWAY PROVIDER ID
AZ
01
—
514423
AHCCCS PROVIDER ID
AZ
Enumeration date
02/07/2007
Last updated
08/22/2020
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