Organization
PROFESSIONAL HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA NICHOLS (V.P. OPERATIONS)
(602) 395-5100
Entity
Organization
Contact information
Practice address
7600 N 16TH ST, SUITE 140, PHOENIX, AZ 85020-4431
(602) 263-5000
(602) 263-5061
Mailing address
7600 N 16TH ST, SUITE 140, PHOENIX, AZ 85020-4431
(602) 263-5000
(602) 263-5061
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA1950
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
648165
—
AZ
Enumeration date
01/09/2007
Last updated
09/13/2013
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