| Mclendon Manor Advocacy Llc | |
|
4577 N 17th Ave Phoenix AZ 85015-3815 | |
| (623) 666-3673 | |
| Not Available |
| Full Name | Mclendon Manor Advocacy Llc |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 4577 N 17th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Shante M Mclendon (OWNER) |
| Authorized Official Contact | 6236663673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclendon Manor Advocacy Llc 4577 N 17th Ave Phoenix AZ 85015-3815 Ph: (623) 666-3673 | Mclendon Manor Advocacy Llc 4577 N 17th Ave Phoenix AZ 85015-3815 Ph: (623) 666-3673 |
| NPI Number | 1164169256 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164169256 | NPI | - | NPPES |
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