Organization
PRINCE OF PEACE HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN MENDOZA RAMIREZ RN (ADMINISTRATOR)
(602) 441-3501
Entity
Organization
Contact information
Practice address
10640 N 28TH DR, SUITE C205-18, PHOENIX, AZ 85029-4527
(602) 445-3501
(602) 865-1970
Mailing address
10640 N 28TH DR, SUITE C205-18, PHOENIX, AZ 85029-4527
(602) 445-3501
(602) 865-1970
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/01/2008
Last updated
11/09/2009
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