# PHOENIX HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grace Healthcare of Phoenix
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275712002
- **Authorized official:** MRS. ALICE MARIE CLARK DANKS CPA (VP OF FINANCE)
- **Authorized official phone:** (423) 308-1845

## Contact information

- **Practice address:** 4202 N 20TH AVE, PHOENIX, AZ 85015-5101
- **Practice address phone:** (602) 264-3824
- **Practice address fax:** (602) 279-6234
- **Mailing address:** 4202 N 20TH AVE, PHOENIX, AZ 85015-5101
- **Mailing address phone:** (602) 264-3824
- **Mailing address fax:** (602) 279-6234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI-2667 | AZ | Yes |

## Other

- **Enumeration date:** 10/29/2007
- **Last updated:** 04/17/2008