Organization
PROFESSIONAL HEALTH CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. R ELAINE SELLERS (CEO)
(623) 934-2300
Entity
Organization
Contact information
Practice address
7971 N 53RD AVE, SUITE 105, GLENDALE, AZ 85301-8652
(623) 934-2300
(623) 934-2307
Mailing address
6611 W PEORIA AVE, SUITE 5-265, GLENDALE, AZ 85302-7000
(623) 934-2300
(623) 934-2307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
530205
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530205
AHCCCS NUMBER
AZ
Enumeration date
03/16/2007
Last updated
08/01/2007
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