Organization
PREFERRED HOMECARE INFUSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KEYS (CEO)
(480) 446-9010
Entity
Organization
Contact information
Practice address
11703 E SPRAGUE AVE, STE. C-3, SPOKANE VALLEY, WA 99206
(509) 921-6560
(509) 921-6551
Mailing address
PO BOX 40700, MESA, AZ 85274-0700
(480) 446-9010
(480) 993-2033
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
01/23/2017
Last updated
08/06/2018
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