| Icare Health Services Llc | |
|
4330 N Agua Fria Dr Prescott Valley AZ 86314-5401 | |
| (928) 772-4456 | |
| Not Available |
| Full Name | Icare Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4330 N Agua Fria Dr, Prescott Valley, Arizona |
| Authorized Official Name and Position | Victoria Fabuluje (PRESIDENT/CEO) |
| 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 4330 N Agua Fria Dr Prescott Valley AZ 86314-5401 Ph: (928) 772-4456 |
| NPI Number | 1639869241 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639869241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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