Provider Demographics
NPI:1487062667
Name:PPH FRANCHISE HOLDINGS LLC
Entity type:Organization
Organization Name:PPH FRANCHISE HOLDINGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTO OF NURSING RESOURCES
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-909-6551
Mailing Address - Street 1:24432 MUIRLANDS BOULEVARD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:85255
Mailing Address - Country:US
Mailing Address - Phone:888-909-6551
Mailing Address - Fax:
Practice Address - Street 1:8324 E HARTFORD DR STE 200
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7801
Practice Address - Country:US
Practice Address - Phone:888-909-6551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health