| Made Whole Medical Center Llc | |
|
13048 W Rancho Santa Fe Blvd Avondale AZ 85392-1705 | |
| (623) 300-6457 | |
| (855) 300-5330 |
| Full Name | Made Whole Medical Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 13048 W Rancho Santa Fe Blvd, Avondale, Arizona |
| Authorized Official Name and Position | Caremla J Banks (OWNER) |
| Authorized Official Contact | 6233006457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Made Whole Medical Center Llc 13048 W Rancho Santa Fe Blvd Avondale AZ 85392-1705 Ph: (623) 300-6457 | Made Whole Medical Center Llc 13048 W Rancho Santa Fe Blvd Avondale AZ 85392-1705 Ph: (623) 300-6457 |
| NPI Number | 1245011006 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/21/2023 |
| Certification Date | 10/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245011006 | NPI | - | NPPES |
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