| Wells Of Hope Services Llc | |
|
5171 S Cub Lake Rd Ste 220 Show Low AZ 85901-7888 | |
| (928) 532-6611 | |
| Not Available |
| Full Name | Wells Of Hope Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5171 S Cub Lake Rd Ste 220, Show Low, Arizona |
| Authorized Official Name and Position | Anthony Parker (OWNER) |
| Authorized Official Contact | 4804691707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wells Of Hope Services Llc 5171 S Cub Lake Rd Ste 220 Show Low AZ 85901-7888 Ph: (928) 532-6611 | Wells Of Hope Services Llc 5171 S Cub Lake Rd Ste 220 Show Low AZ 85901-7888 Ph: (928) 532-6611 |
| NPI Number | 1437883857 |
|---|---|
| Provider Enumeration Date | 07/12/2022 |
| Last Update Date | 07/12/2022 |
| Certification Date | 07/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437883857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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