Healthcare Provider Details

I. General information

NPI: 1861328676
Provider Name (Legal Business Name): LENDING HANDS OUTREACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10822 W WILLOWBROOK DR
SUN CITY AZ
85373-1541
US

IV. Provider business mailing address

10822 W WILLOWBROOK DR
SUN CITY AZ
85373-1541
US

V. Phone/Fax

Practice location:
  • Phone: 623-301-7072
  • Fax:
Mailing address:
  • Phone: 623-301-7072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK ROBERT BERTIGNOLI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 623-301-7072