| Level Of Grace Llc | |
|
4824 E Baseline Rd Ste 101 Mesa AZ 85206-4677 | |
| (480) 906-7761 | |
| (317) 455-4586 |
| Full Name | Level Of Grace Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4824 E Baseline Rd Ste 101, Mesa, Arizona |
| Authorized Official Name and Position | Sadiq Karamira (THE PRESIDENT) |
| Authorized Official Contact | 4809067761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Level Of Grace Llc 1052 E Washington Ave Gilbert AZ 85234-9014 Ph: (480) 906-7761 | Level Of Grace Llc 4824 E Baseline Rd Ste 101 Mesa AZ 85206-4677 Ph: (480) 906-7761 |
| NPI Number | 1104602309 |
|---|---|
| Provider Enumeration Date | 09/04/2023 |
| Last Update Date | 09/04/2023 |
| Certification Date | 09/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104602309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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