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NPI Code Detail

MEDICARE: TRUE ANSWER COMMUNITY WELLNESS LLC

MEDICARE: TRUE ANSWER COMMUNITY WELLNESS 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1790411825
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUE ANSWER COMMUNITY WELLNESS LLC
Provider Business Mailing Address
First Line : 8607 N 59TH AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85302-5433
Country : US
Telephone Number : 520-585-1628
Fax Number :
Provider Business Practice Location Address
First Line : 8607 N 59TH AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85302-5433
Country : US
Telephone Number : 520-585-1628
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. JEAN CLAUDE SIMBANDUSHE
Credential :
Telephone Number : 520-585-1628
Provider Enumeration Date : 07/29/2022
Last Update Date : 07/29/2022

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Directions to “TRUE ANSWER COMMUNITY WELLNESS LLC ” Practice Location

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