Icare Health Services Llc | |
3006 W Donner Dr Phoenix AZ 85041-6345 | |
(202) 717-2541 | |
Not Available |
Full Name | Icare Health Services Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3006 W Donner Dr, Phoenix, Arizona |
Authorized Official Name and Position | Victoria Fabuluje (EXECUTIVE PROGRAM DIR/ADMINISTRATOR) |
Authorized Official Contact | 2027172541 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Icare Health Services Llc 3006 W Donner Dr Phoenix AZ 85041-6345 Ph: (202) 717-2541 | Icare Health Services Llc 3006 W Donner Dr Phoenix AZ 85041-6345 Ph: (202) 717-2541 |
NPI Number | 1487248845 |
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Provider Enumeration Date | 02/25/2021 |
Last Update Date | 02/25/2021 |
Certification Date | 02/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487248845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
385H00000X | Respite Care | (* (Not Available)) | Secondary |
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