# COREHEALTH FAMILY CARE, LLC

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

## Provider details

- **NPI number:** 1538039359
- **Authorized official:** LEEN NIZE (CEO)
- **Authorized official phone:** (207) 409-8460

## Contact information

- **Practice address:** 6751 N SUNSET BLVD STE 320, GLENDALE, AZ 85305-3155
- **Practice address phone:** (207) 409-8460
- **Mailing address:** 6751 N SUNSET BLVD STE 320, GLENDALE, AZ 85305-3155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/06/2025
- **Last updated:** 11/06/2025