MEDICARE: VERDURE HEALTH ARIZONA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1356046197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERDURE HEALTH ARIZONA

Provider Business Mailing Address
First Line	:	2931 E RIVIERA PL
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85249-4940
Country	:	US
Telephone Number	:	480-678-2740
Fax Number	:

Provider Business Practice Location Address
First Line	:	2432 W PEORIA AVE STE 1345
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-4741
Country	:	US
Telephone Number	:	480-866-8487
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. DEBRA MARIE ANDERSON
Credential	:
Telephone Number	:	480-678-2740

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	04/03/2023

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Directions to “VERDURE HEALTH ARIZONA ” Practice Location

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