| Anb Llc | |
|
23335 N 18th Dr Ste B-124 Phoenix AZ 85027-6300 | |
| (602) 277-5787 | |
| (602) 883-7856 |
| Full Name | Anb Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23335 N 18th Dr Ste B-124, Phoenix, Arizona |
| Authorized Official Name and Position | Mei Lin Ford (PRESIDENT) |
| Authorized Official Contact | 6022775787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anb Llc 23335 N 18th Dr Ste B-124 Phoenix AZ 85027-6300 Ph: (602) 277-5787 | Anb Llc 23335 N 18th Dr Ste B-124 Phoenix AZ 85027-6300 Ph: (602) 277-5787 |
| NPI Number | 1518423367 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 01/28/2022 |
| Certification Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518423367 | NPI | - | NPPES |
| 094829 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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