PREMIUM LEGACY HEALTHCARE INC

PHOENIX, AZ
NPI1184327249
Entity TypeOrganization
Authorized ContactONA EKHOMU
CEO
773-319-6420
Organization Subpart ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-03-27
Last Update Date2024-01-12
Business Address
PREMIUM LEGACY HEALTHCARE INC
5062 N 19TH AVE STE 102
PHOENIX, AZ 85015-3225
Phone number: 773-319-6420
Mailing Address
PREMIUM LEGACY HEALTHCARE INC
15255 N FRANK LLOYD WRIGHT BLVD APT 1025
SCOTTSDALE, AZ 85260-2803
Phone number: 773-319-6420
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