Wholehearted Connections Plc | |
3475 Jersey Ridge Rd Ste 2 Davenport IA 52807-2293 | |
(563) 362-2815 | |
Not Available |
Full Name | Wholehearted Connections Plc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3475 Jersey Ridge Rd Ste 2, Davenport, Iowa |
Authorized Official Name and Position | Breann Hirst (OWNER/PROVIDER) |
Authorized Official Contact | 5639491114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wholehearted Connections Plc 703 Ridge St Albany IL 61230-9630 Ph: (563) 949-1114 | Wholehearted Connections Plc 3475 Jersey Ridge Rd Ste 2 Davenport IA 52807-2293 Ph: (563) 362-2815 |
NPI Number | 1962191668 |
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Provider Enumeration Date | 05/08/2023 |
Last Update Date | 05/08/2023 |
Certification Date | 05/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962191668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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