MEDICARE: AZ SAFE HANDS LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467171843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZ SAFE HANDS LLC

Provider Business Mailing Address
First Line	:	1534 W MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-1634
Country	:	US
Telephone Number	:	602-214-7765
Fax Number	:

Provider Business Practice Location Address
First Line	:	1534 W MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-1634
Country	:	US
Telephone Number	:	602-214-7765
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CAMARA ALLEN
Credential	:
Telephone Number	:	602-214-7765

Provider Enumeration Date	:	08/26/2022
Last Update Date	:	08/26/2022

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Directions to “AZ SAFE HANDS LLC ” Practice Location

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