| Ultimate Physical And Mental Health Care | |
|
13350 N 94th Dr Ste B102 Peoria AZ 85381-4826 | |
| (310) 956-0556 | |
| Not Available |
| Full Name | Ultimate Physical And Mental Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 13350 N 94th Dr Ste B102, Peoria, Arizona |
| Authorized Official Name and Position | Patience Ronke Akhimien (CEO) |
| Authorized Official Contact | 3109560556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Physical And Mental Health Care 16336 W Moreland St Goodyear AZ 85338-6291 Ph: (623) 213-7135 | Ultimate Physical And Mental Health Care 13350 N 94th Dr Ste B102 Peoria AZ 85381-4826 Ph: (310) 956-0556 |
| NPI Number | 1376276360 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Medicare PECOS PAC ID | 7315305794 |
|---|---|
| Medicare Enrollment ID | O20230615003827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376276360 | NPI | - | NPPES |
| Provider Name | Patience R Akhimien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346617594 PECOS PAC ID: 8729397773 Enrollment ID: I20190604000948 |
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