| King's Heart Community Health & Wellness | |
|
2544 E University Dr Ste 150 Phoenix AZ 85034-6948 | |
| (480) 352-5490 | |
| Not Available |
| Full Name | King's Heart Community Health & Wellness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2544 E University Dr Ste 150, Phoenix, Arizona |
| Authorized Official Name and Position | Ometris King (ADMINISTRATOR) |
| Authorized Official Contact | 4803525490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King's Heart Community Health & Wellness 5045 W Baseline Rd # 105-179 Laveen AZ 85339-7392 Ph: (480) 352-5490 | King's Heart Community Health & Wellness 2544 E University Dr Ste 150 Phoenix AZ 85034-6948 Ph: (480) 352-5490 |
| NPI Number | 1043934961 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043934961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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