| Gift Of Hearts Home Llc | |
|
4547 N 92nd Ave Phoenix AZ 85037-2450 | |
| (605) 413-0143 | |
| Not Available |
| Full Name | Gift Of Hearts Home Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4547 N 92nd Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Michel N Gahakanyi (OWNER) |
| Authorized Official Contact | 6054130143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gift Of Hearts Home Llc 4547 N 92nd Ave Phoenix AZ 85037-2450 Ph: (605) 413-0143 | Gift Of Hearts Home Llc 4547 N 92nd Ave Phoenix AZ 85037-2450 Ph: (605) 413-0143 |
| NPI Number | 1154922615 |
|---|---|
| Provider Enumeration Date | 11/02/2020 |
| Last Update Date | 11/02/2020 |
| Certification Date | 11/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154922615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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