Organization
PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATILDA NAMUCHANA MASUMBA (AUTHORIZED OFFICIAL)
(801) 815-3521
Entity
Organization
Contact information
Practice address
6565 N 17TH AVE APT 11, PHOENIX, AZ 85015-1330
(801) 815-3521
Mailing address
6565 N 17TH AVE APT 11, PHOENIX, AZ 85015-1330
(801) 815-3521
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us