MEDICARE: PRACTICAL SOLUTIONS

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	:	1528776291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRACTICAL SOLUTIONS

Provider Business Mailing Address
First Line	:	15390 W CENTERRA DR N
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85338-4179
Country	:	US
Telephone Number	:	832-729-9684
Fax Number	:

Provider Business Practice Location Address
First Line	:	8751 N 51ST AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-4941
Country	:	US
Telephone Number	:	832-729-9684
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. BERNARD OCHARO
Credential	:
Telephone Number	:	832-729-9684

Provider Enumeration Date	:	11/10/2022
Last Update Date	:	11/10/2022

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Directions to “PRACTICAL SOLUTIONS ” Practice Location

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