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Phc-lake Havasu Inc
Home Health Agency in Lake Havasu City, Arizona
NPI 1245343482

Phc-lake Havasu Inc is a Home Health Agency based in Brentwood, AZ. Phc-lake Havasu Inc practices in Lake Havasu City, AZ. The NPI Number for Phc-lake Havasu Inc is 1245343482 and holds a License No. HHA0063 (Arizona).

The current practice location address for Phc-lake Havasu Inc is 1851 Mesquite Ave, Lake Havasu City, AZ and can be reached out via phone at 928-680-1209 and via fax at 928-680-7914.

Location: 1851 Mesquite Ave, Lake Havasu City, AZ, 37027-4536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245343482
Provider Name
Phc-lake Havasu Inc
Credential
Provider Entity Type
Organization
Address
1851 Mesquite Ave, Lake Havasu City, AZ, 37027-4536
Phone Number
928-680-1209
Fax Number
928-680-7914
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
435992 05 AZ
institution
Provider Business Practice Location Address Details
Address
1851 Mesquite Ave
City
Lake Havasu City
State
Arizona
Zip
86403-5677
Phone Number
928-680-1209
Fax Number
928-680-7914
person
Provider Business Mailing Address Details
Address
1851 Mesquite Ave
City
Lake Havasu City
State
Arizona
Zip
86403-5677
Phone Number
928-680-1209
Fax Number
928-680-7914
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
HHA0063 (Arizona)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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