| Loyalty Care Llc | |
|
1525 S Chestnut Cir Mesa AZ 85204-6118 | |
| (602) 570-5736 | |
| Not Available |
| Full Name | Loyalty Care Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 1525 S Chestnut Cir, Mesa, Arizona |
| Authorized Official Name and Position | Jessica Stanford (DIRECTOR) |
| Authorized Official Contact | 6025705633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loyalty Care Llc 4478 S Marion Pl Chandler AZ 85249-4791 Ph: () - | Loyalty Care Llc 1525 S Chestnut Cir Mesa AZ 85204-6118 Ph: (602) 570-5736 |
| NPI Number | 1801502471 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 01/26/2023 |
| Certification Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801502471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
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