| Neemahome1 Llc | |
|
6607 E Hawk Dr Tucson AZ 85730-3249 | |
| (520) 745-5361 | |
| (520) 745-5361 |
| Full Name | Neemahome1 Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6607 E Hawk Dr, Tucson, Arizona |
| Authorized Official Name and Position | Mary Wambaire (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5202481919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neemahome1 Llc 6607 E Hawk Dr Tucson AZ 85730-3249 Ph: (520) 745-5361 | Neemahome1 Llc 6607 E Hawk Dr Tucson AZ 85730-3249 Ph: (520) 745-5361 |
| NPI Number | 1043658115 |
|---|---|
| Provider Enumeration Date | 06/11/2013 |
| Last Update Date | 06/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043658115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH4178 (Arizona) | Primary |
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