| Life Change Corp | |
|
2995 W Fairmount Ave Phoenix AZ 85017-4614 | |
| (602) 799-2757 | |
| Not Available |
| Full Name | Life Change Corp |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 2995 W Fairmount Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Tlahjonte Hopson (BOARD CHAIRMAN) |
| Authorized Official Contact | 6027992757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Change Corp 4513 W Lodge Dr Laveen AZ 85339-7788 Ph: (602) 799-2757 | Life Change Corp 2995 W Fairmount Ave Phoenix AZ 85017-4614 Ph: (602) 799-2757 |
| NPI Number | 1700697976 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/06/2026 |
| Certification Date | 01/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700697976 | NPI | - | NPPES |
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