| Infinite Hope Llc | |
|
1177 W Swan Dr Chandler AZ 85286-7543 | |
| (480) 634-3196 | |
| Not Available |
| Full Name | Infinite Hope Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1177 W Swan Dr, Chandler, Arizona |
| Authorized Official Name and Position | Cody Morales (OWNER) |
| Authorized Official Contact | 4807023780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Hope Llc 4654 E Mountain Vista Dr Phoenix AZ 85048-0403 Ph: (480) 702-3780 | Infinite Hope Llc 1177 W Swan Dr Chandler AZ 85286-7543 Ph: (480) 634-3196 |
| NPI Number | 1407472939 |
|---|---|
| Provider Enumeration Date | 06/20/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Medicare PECOS PAC ID | 0345663654 |
|---|---|
| Medicare Enrollment ID | O20200706000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407472939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cody Ann Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649528720 PECOS PAC ID: 7214202779 Enrollment ID: I20171010000659 |
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