Sacred Mountain Home Care
NPI #1700029022 in St. Michaels, Arizona
Provider Information
- NPI Number
- 1700029022
- Entity Type
- Organization
- Organization Name
- Sacred Mountain Home Care
- Primary Specialty
- Home Health
- Enumeration Date
- Apr 16, 2009
- Last Updated
- Apr 16, 2009
Practice Location
- Address
- 2 MILES WEST OF DAYS INN ON HWY 264
- City
- St. Michaels
- State
- Arizona
- ZIP Code
- 86511-0315
- Phone
- (505) 612-9119
Authorized Official
- Name
- MR. TONY DERALD LILLY
- Title
- CEO
- Phone
- (505) 612-9119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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