| Gift Of Hearts Home Ii, Llc | |
|
3317 S 95th Dr Tolleson AZ 85353-8594 | |
| (480) 466-3452 | |
| Not Available |
| Full Name | Gift Of Hearts Home Ii, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3317 S 95th Dr, Tolleson, Arizona |
| Authorized Official Name and Position | Michel Gahakanyi (PROGRAM OPERATING COORDINATOR) |
| Authorized Official Contact | 4804663852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gift Of Hearts Home Ii, Llc 3317 S 95th Dr Tolleson AZ 85353-8594 Ph: (480) 466-3852 | Gift Of Hearts Home Ii, Llc 3317 S 95th Dr Tolleson AZ 85353-8594 Ph: (480) 466-3452 |
| NPI Number | 1134704240 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134704240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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