| Infinity Groups Homes 4 | |
|
1495 W Mohawk Ln Phoenix AZ 85027-3618 | |
| (480) 907-4474 | |
| Not Available |
| Full Name | Infinity Groups Homes 4 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1495 W Mohawk Ln, Phoenix, Arizona |
| Authorized Official Name and Position | Mozamil Gabir Abdelrahman (AUTHORIZE OFFICIAL) |
| Authorized Official Contact | 4809074474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Groups Homes 4 15111 N 33rd Pl Phoenix AZ 85032-4552 Ph: (480) 907-4474 | Infinity Groups Homes 4 1495 W Mohawk Ln Phoenix AZ 85027-3618 Ph: (480) 907-4474 |
| NPI Number | 1063985992 |
|---|---|
| Provider Enumeration Date | 01/03/2019 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063985992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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