| Home Of Purpose Empowerment Llc | |
|
3732 S 64th Ln Phoenix AZ 85043-0130 | |
| (623) 248-8269 | |
| (623) 248-8266 |
| Full Name | Home Of Purpose Empowerment Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3732 S 64th Ln, Phoenix, Arizona |
| Authorized Official Name and Position | Elonda W Wilson (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 6029351611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Of Purpose Empowerment Llc 3732 S 64th Ln Phoenix AZ 85043-0130 Ph: (623) 248-8269 | Home Of Purpose Empowerment Llc 3732 S 64th Ln Phoenix AZ 85043-0130 Ph: (623) 248-8269 |
| NPI Number | 1427727577 |
|---|---|
| Provider Enumeration Date | 09/12/2021 |
| Last Update Date | 09/12/2021 |
| Certification Date | 09/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427727577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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