Provider Demographics
NPI:1619109857
Name:TERRICENA AJRAMIREZ
Entity Type:Organization
Organization Name:TERRICENA AJRAMIREZ
Other - Org Name:@ HEART HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRICENA
Authorized Official - Middle Name:
Authorized Official - Last Name:AJRAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-810-4177
Mailing Address - Street 1:HIGHWAY 264 LOS VERDES TRAILER COURT
Mailing Address - Street 2:
Mailing Address - City:SAINT MICHAELS
Mailing Address - State:AZ
Mailing Address - Zip Code:86511-4613
Mailing Address - Country:US
Mailing Address - Phone:928-810-4177
Mailing Address - Fax:928-810-4178
Practice Address - Street 1:HIGHWAY 264 LOS VERDES TRAILER COURT
Practice Address - Street 2:
Practice Address - City:SAINT MICHAELS
Practice Address - State:AZ
Practice Address - Zip Code:86511-4613
Practice Address - Country:US
Practice Address - Phone:928-810-4177
Practice Address - Fax:928-810-4178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health