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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 C3, 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
Primary
60202268
WA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
60202268
WA
332BX2000X
Oxygen Equipment & Supplies (DME)
60202268
WA
3336H0001X
Home Infusion Therapy Pharmacy
60202268
WA
3336M0002X
Mail Order Pharmacy
1820MS
ID
3336M0002X
Mail Order Pharmacy
RP 001683 CS
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2086032
WA
Enumeration date
08/10/2006
Last updated
08/06/2018
About Stedi
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