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NPI Code Detail

MEDICARE: HOLDING HANDS HEALTH CENTER LLC

MEDICARE: HOLDING HANDS HEALTH CENTER 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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1548928294
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLDING HANDS HEALTH CENTER LLC
Provider Business Mailing Address
First Line : 1410 W GUADALUPE RD STE 109
Second Line :
City : GILBERT
State : AZ
Zip : 85233-3039
Country : US
Telephone Number : 480-868-3718
Fax Number :
Provider Business Practice Location Address
First Line : 1410 W GUADALUPE RD STE 109
Second Line :
City : GILBERT
State : AZ
Zip : 85233-3039
Country : US
Telephone Number : 480-868-3718
Fax Number :
Authorized Official
Title or Position : OWNER
Name : EDWARD LOGAN
Credential :
Telephone Number : 480-868-3718
Provider Enumeration Date : 11/30/2021
Last Update Date : 11/30/2021

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Directions to “HOLDING HANDS HEALTH CENTER LLC ” Practice Location

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