Organization
PRIME CARE HOSPICE, LLC
Active
Other names
Prime Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
SATWANT K BHOWRA (CFO)
(602) 550-4065
Entity
Organization
Contact information
Practice address
4225 W GLENDALE AVE STE A200, PHOENIX, AZ 85051
(623) 847-2323
(602) 934-5603
Mailing address
PO BOX 47090, PHOENIX, AZ 85068-7090
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSPC4331
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433523
—
AZ
Enumeration date
01/17/2008
Last updated
11/18/2019
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