Organization
PA HEALTHCARE
Active
Parent organization
PA HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PA HEALTHCARE
Authorized official
CHARLES BURRESS (GENERAL MANAGER)
(800) 931-0409
Entity
Organization
Contact information
Practice address
10750 W MCDOWELL RD, AVONDALE, AZ 85392-5960
(800) 931-0409
(888) 502-2754
Mailing address
10750 W MCDOWELL RD, AVONDALE, AZ 85392-5960
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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