| D&g Providence Care Llc | |
|
9186 W John Cabot Rd Peoria AZ 85382-7716 | |
| (480) 285-5907 | |
| Not Available |
| Full Name | D&g Providence Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9186 W John Cabot Rd, Peoria, Arizona |
| Authorized Official Name and Position | Douglas Gasore Kabunda (MANAGER) |
| Authorized Official Contact | 4802855907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D&g Providence Care Llc 9186 W John Cabot Rd Peoria AZ 85382-7716 Ph: (480) 285-5907 | D&g Providence Care Llc 9186 W John Cabot Rd Peoria AZ 85382-7716 Ph: (480) 285-5907 |
| NPI Number | 1598473290 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598473290 | NPI | - | NPPES |
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