| Organization Name: | PETERSONS HOME CARE INC |
| NPI Number: | 1043290885 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN L MENCHEN (CHIEF ADMINISTRATION OFFICER) |
| Mailing Address: | 1405 S Joshua Ave Parker |
| State: | AZ US |
| Postal Code: | 853445731 |
| Phone Number: | 9286698285 |
| Fax Number: | 9286695330 |
| NPI Enumeration Date: | 01/18/2006 |
| NPI Last Update Date: | 10/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |