| Imani Wellness Llc | |
|
250 W Pinkley Ave Coolidge AZ 85128-4311 | |
| (515) 419-5096 | |
| Not Available |
| Full Name | Imani Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 W Pinkley Ave, Coolidge, Arizona |
| Authorized Official Name and Position | Joanne Rop (OWNER) |
| Authorized Official Contact | 5154195096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imani Wellness Llc 250 W Pinkley Ave Coolidge AZ 85128-4311 Ph: () - | Imani Wellness Llc 250 W Pinkley Ave Coolidge AZ 85128-4311 Ph: (515) 419-5096 |
| NPI Number | 1679168454 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Medicare PECOS PAC ID | 0042619868 |
|---|---|
| Medicare Enrollment ID | O20220211000864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679168454 | NPI | - | NPPES |
| Provider Name | Zaccius K Rop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922643998 PECOS PAC ID: 2163857038 Enrollment ID: I20200123000258 |
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