| Rancho Bella Llc | |
|
21609 N 12th Ave Ste 600 Phoenix AZ 85027-2850 | |
| (602) 622-7731 | |
| Not Available |
| Full Name | Rancho Bella Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 21609 N 12th Ave Ste 600, Phoenix, Arizona |
| Authorized Official Name and Position | Jack Reigelsperger (OWNER) |
| Authorized Official Contact | 6026227731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Bella Llc 21609 N 12th Ave Ste 600 Phoenix AZ 85027-2850 Ph: (602) 622-7731 | Rancho Bella Llc 21609 N 12th Ave Ste 600 Phoenix AZ 85027-2850 Ph: (602) 622-7731 |
| NPI Number | 1972205987 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972205987 | NPI | - | NPPES |
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