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Savannah Stidham
Home Health Agency in Prescott, Arizona
NPI 1598162570

Savannah Stidham is a Home Health Agency based in Prescott, AZ. Savannah Stidham practices in Prescott, AZ. The NPI Number for Savannah Stidham is 1598162570 and holds a License No. (Arizona).

The current practice location address for Savannah Stidham is 805 Whipple St, Prescott, AZ and can be reached out via phone at 928-771-0701 and via fax at 928-717-9398.

Location: 805 Whipple St, Prescott, AZ, 86301-1617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598162570
Provider Name
Savannah Stidham
Credential
Provider Entity Type
Individual
Gender
Female
Address
805 Whipple St, Prescott, AZ, 86301-1617
Phone Number
928-771-0701
Fax Number
928-717-9398
Provider Enumeration Date
11/19/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
120376 05 AZ
institution
Provider Business Practice Location Address Details
Address
805 Whipple St
City
Prescott
State
Arizona
Zip
86301-1617
Phone Number
928-771-0701
Fax Number
928-717-9398
person
Provider Business Mailing Address Details
Address
805 Whipple St
City
Prescott
State
Arizona
Zip
86301-1617
Phone Number
928-771-0701
Fax Number
928-717-9398
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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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