| Organization Name: | WICKENBURG HOME CARE |
| NPI Number: | 1073722765 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAFAYE J HOUSE (BOOKKEEPER) |
| Mailing Address: | 1020 W Wickenburg Way Ste 4 Wickenburg |
| State: | AZ US |
| Postal Code: | 853903290 |
| Phone Number: | 9286843201 |
| Fax Number: | 9286840684 |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 372500000X |
| License Number: | L13325529 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | AZ |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Chore Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |