| Medford's Home, LLC | |
|
44276 W Neely Dr Maricopa AZ 85138-9427 | |
| (619) 708-1440 | |
| Not Available |
| Full Name | Medford's Home, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 44276 W Neely Dr, Maricopa, Arizona |
| Authorized Official Name and Position | Jacob Medford (OWNER) |
| Authorized Official Contact | 6197081440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medford's Home, LLC 44276 W Neely Dr Maricopa AZ 85138-9427 Ph: (619) 708-1440 | Medford's Home, LLC 44276 W Neely Dr Maricopa AZ 85138-9427 Ph: (619) 708-1440 |
| NPI Number | 1952938185 |
|---|---|
| Provider Enumeration Date | 03/26/2020 |
| Last Update Date | 03/26/2020 |
| Certification Date | 03/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952938185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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