GRANITE MOUNTAIN HOME CARE

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

037139

Ownership Type:

Proprietary

Date Certified:

12-17-1992

Address:

1040 WHIPPLE STREET, SUITE 312

City, State, Zip:

PRESCOTT , AZ 86305

County:

YAVAPAI

Country:

Phone:

9284452522

Fax:

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