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General NPI Number Information
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NPI Number | 1598538910
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HEALTHCARE, LLC
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 581 EXECUTIVE PL STE 700
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5701
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Country | US
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Telephone | 910-427-8787
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Fax |
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Provider Business Mailing Address
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Address Line | 2999 N 44TH ST STE 100
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City | PHOENIX
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State | AZ
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Zip | 85018-7247
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Country | US
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Telephone | 480-618-5760
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Fax | 602-253-5656
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MIKE LOVELL
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Credential |
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Telephone | 480-618-5760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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