PORTRUSH LLC NPI 1245297746

NPI Information

PORTRUSH LLC is a home health registered nurse in Phoenix, AZ. PORTRUSH LLC NPI is 1245297746. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nursing Solutions.

The provider's business location address is:

15255 N 40TH STREET
SUITE 141
PHOENIX, AZ
ZIP 85032
Phone: (602) 331-1100
Fax: (602) 331-1204

The provider's authorized official is Randy Edmundson .
The authorized official title is Chief Financial Officer and has the following contact phone number (903) 532-1400.

The CLIA number assigned to this NPI record is 03D0887055 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 1/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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