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Contact Information

TRADITIONAL HOME CARE
1/4 MILE N. TWO STORY RD.
RA #31
SAINT MICHAELS, AZ86511
 Phone: 928-871-5021
 Fax: 928-810-3998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for TRADITIONAL HOME CARE

NPI Number 1669728713
LBN Legal business name TRADITIONAL HOME CARE
Authorized official LULA NEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2012
Last updated 07/26/2012 - About 14 years ago
Identifiers
AZ License # 415780
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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