Na'au Healing Center | |
720 W Oneil Dr Apt 171 Casa Grande AZ 85122-1174 | |
(808) 658-1417 | |
(866) 461-6786 |
Full Name | Na'au Healing Center |
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Speciality | Social Worker |
Location | 720 W Oneil Dr Apt 171, Casa Grande, Arizona |
Authorized Official Name and Position | Keshia L Adolpho (OWNER/SOLE MEMBER) |
Authorized Official Contact | 8086461015 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Na'au Healing Center 720 W Oneil Dr Apt 171 Casa Grande AZ 85122-1174 Ph: (808) 658-1417 | Na'au Healing Center 720 W Oneil Dr Apt 171 Casa Grande AZ 85122-1174 Ph: (808) 658-1417 |
NPI Number | 1902522410 |
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Provider Enumeration Date | 10/17/2022 |
Last Update Date | 08/12/2024 |
Certification Date | 08/12/2024 |
Medicare PECOS PAC ID | 6608245824 |
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Medicare Enrollment ID | O20221212000208 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902522410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Keshia Adolpho |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659785913 PECOS PAC ID: 9739418583 Enrollment ID: I20190904002526 |
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