Healthcare Provider Details
I. General information
NPI: 1275472284
Provider Name (Legal Business Name): VALLEY PREMIER CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5201 W SUNLAND AVE
LAVEEN AZ
85339-2431
US
IV. Provider business mailing address
5201 W SUNLAND AVE
LAVEEN AZ
85339-2431
US
V. Phone/Fax
- Phone: 602-282-8883
- Fax:
- Phone: 602-282-8883
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LATANYA
STROZIER
Title or Position: CO- OWNER
Credential:
Phone: 602-282-8883