| Pride Family Ser | |
|
1255 W Baseline Rd # C-175 Mesa AZ 85202-5820 | |
| (408) 687-3620 | |
| (480) 687-3769 |
| Full Name | Pride Family Ser |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
| Location | 1255 W Baseline Rd # C-175, Mesa, Arizona |
| Authorized Official Name and Position | Trandy Hester (CEO) |
| Authorized Official Contact | 4086873620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride Family Ser 1255 W Baseline Rd # C-175 Mesa AZ 85202-5820 Ph: (408) 687-3620 | Pride Family Ser 1255 W Baseline Rd # C-175 Mesa AZ 85202-5820 Ph: (408) 687-3620 |
| NPI Number | 1699378091 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 03/11/2021 |
| Certification Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699378091 | NPI | - | NPPES |
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