Organization
PREMIER FAMILY CARE OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYNA JOAN ANTONIO LNA (CEO/ADMINISTRATOR)
(623) 400-9200
Entity
Organization
Contact information
Practice address
18001 N 79TH AVE STE A8, GLENDALE, AZ 85308-8389
(623) 400-9200
Mailing address
18001 N 79TH AVE STE A8, GLENDALE, AZ 85308-8389
(623) 400-9200
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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