Phc-Fort Mohave INC
NPI #1225301096 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1225301096
- Entity Type
- Organization
- Organization Name
- Phc-Fort Mohave INC
- Primary Specialty
- Home Health
- Enumeration Date
- Feb 9, 2012
- Last Updated
- Jul 23, 2015
Practice Location
- Address
- 1520 E HAMMER LN
- Address 2
- SUITE 102
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-6664
- Phone
- (928) 788-4140
Authorized Official
- Name
- VICTOR E. GIOVANETTI
- Title
- PRESIDENT
- Phone
- (615) 920-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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