Organization Name: | HOME CARE OF NORTHERN ARIZONA |
NPI Number: | 1225425846 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG KING (OWNER) |
Mailing Address: | 491 N Bluff St Unit 306 St George |
State: | UT US |
Postal Code: | 847705923 |
Phone Number: | 4352290516 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2015 |
NPI Last Update Date: | 04/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |