Provider Demographics
NPI:1235595588
Name:HUALAPAI HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:HUALAPAI HOME HEALTH CARE, INC
Other - Org Name:HUALAPAI GREEN VALLEY
Other - Org Type:Other Name
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:UHLIG
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:520-615-8181
Mailing Address - Street 1:PO BOX 12728
Mailing Address - Street 2:PO
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85732-2728
Mailing Address - Country:US
Mailing Address - Phone:520-615-8181
Mailing Address - Fax:520-615-8188
Practice Address - Street 1:75 W CALLE DE LAS TIENDAS STE 133B
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-4270
Practice Address - Country:US
Practice Address - Phone:520-615-8181
Practice Address - Fax:520-615-8188
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUALAPAI HOME HEALTH CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-01
Last Update Date:2016-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health