Healthcare Provider Details

I. General information

NPI: 1841007176
Provider Name (Legal Business Name): BUMBLEBEE HEALTH AFTER CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2024
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 N CENTRAL AVE STE 174
PHOENIX AZ
85012-3613
US

IV. Provider business mailing address

3101 N CENTRAL AVE STE 174
PHOENIX AZ
85012-3613
US

V. Phone/Fax

Practice location:
  • Phone: 480-652-9952
  • Fax:
Mailing address:
  • Phone: 480-652-9952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN WEIS
Title or Position: COO
Credential:
Phone: 480-652-9952