OrganizationActive
La Casa Serena
NPI 1073787768 · Health Maintenance Organization · Eagar, AZ
Provider details
- NPI number
- 1073787768
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Eric Hamblin, Owner(928) 333-0151
- License
- AL6954 (AZ)
Specialties & taxonomies
Managed Care Organizations
Practice location
324 East 1st Street
Eagar, AZ 85925-0609
Phone: (928) 333-0151
Fax: (928) 333-0154
Approximate (ZIP-level) locationGet directions
Mailing address
324 E 1st Street
Eagar, AZ 85925-0609
Registry dates
- Enumerated
- 2008-04-15
- Last updated
- 2008-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.