| Infinity Groups Homes Llc | |
|
12643 N 22nd Ave Phoenix AZ 85029-2652 | |
| (480) 907-4474 | |
| Not Available |
| Full Name | Infinity Groups Homes Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 12643 N 22nd Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Mozamil Gabir Abdelrahman (OWNER) |
| Authorized Official Contact | 4809074474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Groups Homes Llc 15111 N 33rd Pl Phoenix AZ 85032-4552 Ph: (480) 907-4474 | Infinity Groups Homes Llc 12643 N 22nd Ave Phoenix AZ 85029-2652 Ph: (480) 907-4474 |
| NPI Number | 1770931008 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770931008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | BH4839 (Arizona) | Primary |
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