| Amazing Grace Health Llc | |
|
17156 W Tonto St Goodyear AZ 85338-1295 | |
| (623) 206-2311 | |
| Not Available |
| Full Name | Amazing Grace Health Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 17156 W Tonto St, Goodyear, Arizona |
| Authorized Official Name and Position | Leonard Iwuala (CEO) |
| Authorized Official Contact | 6232062311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Grace Health Llc 17156 W Tonto St Goodyear AZ 85338-1295 Ph: (623) 206-2311 | Amazing Grace Health Llc 17156 W Tonto St Goodyear AZ 85338-1295 Ph: (623) 206-2311 |
| NPI Number | 1457023723 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457023723 | NPI | - | NPPES |
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