| Botanical Protection Llc | |
|
21258 E Rittenhouse Rd Ste 104 Queen Creek AZ 85142-9340 | |
| (480) 699-1733 | |
| Not Available |
| Full Name | Botanical Protection Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21258 E Rittenhouse Rd Ste 104, Queen Creek, Arizona |
| Authorized Official Name and Position | Frankie Jones (CEO) |
| Authorized Official Contact | 6239201620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Botanical Protection Llc 21258 E Rittenhouse Rd Ste 104 Queen Creek AZ 85142-9340 Ph: (623) 920-2248 | Botanical Protection Llc 21258 E Rittenhouse Rd Ste 104 Queen Creek AZ 85142-9340 Ph: (480) 699-1733 |
| NPI Number | 1720796949 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/03/2022 |
| Medicare PECOS PAC ID | 7719327535 |
|---|---|
| Medicare Enrollment ID | O20240426002355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720796949 | NPI | - | NPPES |
| Provider Name | Floriann Blackhorse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386040608 PECOS PAC ID: 9537491311 Enrollment ID: I20191028002490 |
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