| Organization Name: | DESERT FAMILY HEALTH CARE LLC |
| NPI Number: | 1487791083 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURA D HANSON (MANAGING MEMBER) |
| Mailing Address: | 765 W Azure Dr Camp Verde |
| State: | AZ US |
| Postal Code: | 863224945 |
| Phone Number: | 9284516559 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 01/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | RN 114868 AP 2200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |