High Country Early Intervention INC

NPI #1144332107 in Prescott, Arizona

Provider Information

NPI Number: 1144332107
Entity Type: Organization
Organization Name: High Country Early Intervention INC
Primary Specialty: Home Health
Enumeration Date: Aug 31, 2006
Last Updated: Oct 8, 2019

Practice Location

Address: 3105 CLEARWATER DR
Address 2: SUITE B
City: Prescott
State: Arizona
ZIP Code: 86305-7166
Phone: (928) 776-9285

Authorized Official

Name: MISS ANNA M MANCHA
Title: EXECUTIVE DIRECTOR
Phone: (928) 776-9285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Physical Therapist	225100000X
Speech-Language Pathologist	235Z00000X
Case Management	251B00000X
Early Intervention Provider Agency	252Y00000X
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Home Health	251E00000X	Primary

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