Organization · NPI-2

Westcare Arizona I, INC.

Substance Abuse Rehabilitation Facility · Bullhead City, AZ

NPI number1346869039
StatusActive
Last updated in NPPESMay 20, 2025

Details

NPI
1346869039
Entity type
Organization (NPI-2)
Legal business name
Westcare Arizona I, INC.
Organization subpart
No
Enumeration date
Apr 13, 2020
Certification date
May 20, 2025
Last updated
May 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Other names

  • Hildy'S House (Other Name)

Practice location

1160 Agate Rd
Bullhead City, AZ 86442

Phone 928-763-1945 · Fax 928-763-8809

Mailing address

Po Box 94738
Las Vegas, NV 89193-4738

Phone 702-385-2090 · Fax 702-924-2575

Authorized official

Ken Ortbals
Ceo
7023852090

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