Organization
PREMIER HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NENE BASSEY OFFICE MANAGER (OFFICE MANAGER)
(602) 692-0332
Entity
Organization
Contact information
Practice address
17224 N 43RD AVE, GLENDALE, AZ 85308-4025
(480) 204-4906
Mailing address
2329 W HEDGEHOG PL, PHOENIX, AZ 85085-4774
(480) 567-5258
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
03/28/2024
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