| Esperanza Hobby Ms Llc | |
|
1412 W State Rd Pleasant Grove UT 84062-5015 | |
| (385) 497-1175 | |
| Not Available |
| Full Name | Esperanza Hobby Ms Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1412 W State Rd, Pleasant Grove, Utah |
| Authorized Official Name and Position | Esperanza Hobby (OWNER) |
| Authorized Official Contact | 3344980224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esperanza Hobby Ms Llc 583 S 900 W Apt 206 Pleasant Grove UT 84062-2386 Ph: (334) 498-0224 | Esperanza Hobby Ms Llc 1412 W State Rd Pleasant Grove UT 84062-5015 Ph: (385) 497-1175 |
| NPI Number | 1215660733 |
|---|---|
| Provider Enumeration Date | 07/01/2022 |
| Last Update Date | 07/01/2022 |
| Certification Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215660733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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