| Fountain Of Hope | |
|
4444 W Northern Ave Glendale AZ 85301-1683 | |
| (623) 594-7100 | |
| Not Available |
| Full Name | Fountain Of Hope |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4444 W Northern Ave, Glendale, Arizona |
| Authorized Official Name and Position | Lorri Mcneal (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9099198134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Of Hope 4444 W Northern Ave Glendale AZ 85301-1683 Ph: (623) 594-7100 | Fountain Of Hope 4444 W Northern Ave Glendale AZ 85301-1683 Ph: (623) 594-7100 |
| NPI Number | 1598454001 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598454001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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