# PRIME MEDHEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265258883
- **Authorized official:** JOY ANWULI ARAH (ADMINISTRATION)
- **Authorized official phone:** (480) 567-5258

## Contact information

- **Practice address:** 17224 N 43RD AVE STE 105, GLENDALE, AZ 85308-4025
- **Practice address phone:** (480) 567-5258
- **Mailing address:** 17224 N 43RD AVE STE 105, GLENDALE, AZ 85308-4025
- **Mailing address phone:** (480) 567-5258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2024
- **Last updated:** 11/27/2024