# FOREVER FAMILY HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1346301629
- **Authorized official:** JONNE AMORETTE HOUSH MSN, NP-C (NURSE PRACTITIONER)
- **Authorized official phone:** (480) 961-2366

## Contact information

- **Practice address:** 12010 S WARNER ELLIOT LOOP STE 1, PHOENIX, AZ 85044-2731
- **Practice address phone:** (480) 961-2366
- **Practice address fax:** (480) 961-2367
- **Mailing address:** 12010 S WARNER ELLIOT LOOP STE 1A, PHOENIX, AZ 85044-2731
- **Mailing address phone:** (480) 961-2366
- **Mailing address fax:** (480) 961-2367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2959 | AZ | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 11/30/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Z71307 | PTAN | AZ |