| Organization Name: | ACCESS WISDOM HOMECARE |
| NPI Number: | 1245549617 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CONNIE K HALKOWITZ (MANAGER) |
| Mailing Address: | 360 W Vista Hermosa Dr 360 W. Vista Hermosa Green Valley |
| State: | AZ US |
| Postal Code: | 856141903 |
| Phone Number: | 5203930300 |
| Fax Number: | 5203931100 |
| NPI Enumeration Date: | 10/01/2010 |
| NPI Last Update Date: | 10/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 1112980 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |