Organization
PACIFIC HEALTH SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REMIGIUS IMIMOLE IDAEWOR (PRESIDENT)
(678) 480-5315
Entity
Organization
Contact information
Practice address
4625 E BROADWAY BLVD STE 218, TUCSON, AZ 85711-3576
(678) 480-5315
(678) 669-1693
Mailing address
4625 E BROADWAY BLVD STE 218, TUCSON, AZ 85711-3576
(678) 480-5315
(678) 669-1693
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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