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NPI Code Detail

MEDICARE: DEHP LLC

MEDICARE: DEHP 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
1251J00000XNursing Care Agency
2261QH0100XHealth Service Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4261QM0850XAdult Mental Health Clinic/Center
5261QP2300XPrimary Care Clinic/Center
6251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1770385460
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEHP LLC
Provider Business Mailing Address
First Line : 3800 N CENTRAL AVE STE 1010
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-1918
Country : US
Telephone Number : 602-566-7627
Fax Number : 844-610-6047
Provider Business Practice Location Address
First Line : 3336 N 32ND ST STE 106
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-6241
Country : US
Telephone Number : 602-566-7627
Fax Number : 844-610-6047
Authorized Official
Title or Position : CEO
Name : JOSETTE D SULLINS
Credential :
Telephone Number : 602-566-7627
Provider Enumeration Date : 03/25/2025
Last Update Date : 03/25/2025

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Directions to “DEHP LLC ” Practice Location

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