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>> Home Health >> Agencies

Registrant NPI Number: 1588102875

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
Tel: 505-507-9178  Fax: 928-725-3157

Contact information for business:
PO BOX 4260  BLUE GAP, AZ 86520-4260 US
Tel: 505-507-9178  Fax: 928-725-3157

Registration Information:
NPI: 1588102875
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Home Health
N343900000XTransportation Services
Non-emergency Medical Transport (VAN)

Legacy codes, insurance codes and state license numbers:



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