Organization
PRIVUS HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PEREZ (MANAGER)
(602) 595-5197
Entity
Organization
Contact information
Practice address
22601 N 19TH AVE STE 114, SUITE 114, PHOENIX, AZ 85027-1324
(602) 595-5197
(602) 595-6041
Mailing address
22601 N 19TH AVE STE 114, SUITE 114, PHOENIX, AZ 85027-1324
(602) 595-5197
(602) 595-6041
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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