Organization · NPI-2

Arizona Premium Care LLC

Community/Behavioral Health · Tempe, AZ

NPI number1336811447
StatusActive
Last updated in NPPESSep 28, 2021

Details

NPI
1336811447
Entity type
Organization (NPI-2)
Legal business name
Arizona Premium Care LLC
Organization subpart
No
Enumeration date
Sep 28, 2021
Certification date
Sep 27, 2021
Last updated
Sep 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

3255 S Dorsey Ln Apt 2097
Tempe, AZ 85282-3987

Phone 480-721-3000

Mailing address

3255 S Dorsey Ln Apt 2097
Tempe, AZ 85282-3987

Authorized official

Sulafa Salim
Director
4807213000

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