Organization
NURSECORE MANAGEMENT SERVICES LLC
Active
Other names
NURSECORE OF PHOENIX
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LOLLAR (PRESIDENT/CEO)
(817) 649-1166
Entity
Organization
Contact information
Practice address
300 W CLARENDON AVE STE 340, PHOENIX, AZ 85013-3499
(602) 274-3400
Mailing address
PO BOX 201925, ARLINGTON, TX 76006-1925
(817) 649-1166
(817) 649-2638
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA275
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156107
GENTIVA
AZ
01
—
1Z7201
HEALTHNET
AZ
05
—
378978
—
AZ
05
—
378978-23
—
AZ
01
—
AZ0701860
BLUE CROSS BLUE SHIELD
AZ
01
—
PHH190030011
APIPA
AZ
Enumeration date
06/12/2006
Last updated
04/19/2022
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