# PRINCE OF PEACE HOME HEALTH, LLC

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

## Provider details

- **NPI number:** 1871746024
- **Authorized official:** MARIAN MENDOZA RAMIREZ RN (ADMINISTRATOR)
- **Authorized official phone:** (602) 441-3501

## Contact information

- **Practice address:** 10640 N 28TH DR, SUITE C205-18, PHOENIX, AZ 85029-4527
- **Practice address phone:** (602) 445-3501
- **Practice address fax:** (602) 865-1970
- **Mailing address:** 10640 N 28TH DR, SUITE C205-18, PHOENIX, AZ 85029-4527
- **Mailing address phone:** (602) 445-3501
- **Mailing address fax:** (602) 865-1970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2008
- **Last updated:** 11/09/2009