Provider First Line Business Practice Location Address:
HIGHWAY 264 MILE POST 388
Provider Second Line Business Practice Location Address:
HOPI HEALTH CARE CENTER
Provider Business Practice Location Address City Name:
POLACCA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-737-6000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2014