| No Ka Heke Llc | |
|
720 W Oneil Dr Apt 171 Casa Grande AZ 85122-1174 | |
| (808) 658-1417 | |
| (866) 461-6786 |
| Full Name | No Ka Heke Llc |
|---|---|
| Speciality | Social Worker |
| Location | 720 W Oneil Dr Apt 171, Casa Grande, Arizona |
| Authorized Official Name and Position | Keshia L Adolpho (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 8086461015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| No Ka Heke Llc 720 W Oneil Dr Apt 171 Casa Grande AZ 85122-1174 Ph: (808) 658-1417 | No Ka Heke Llc 720 W Oneil Dr Apt 171 Casa Grande AZ 85122-1174 Ph: (808) 658-1417 |
| NPI Number | 1902522410 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Medicare PECOS PAC ID | 6608245824 |
|---|---|
| Medicare Enrollment ID | O20221212000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902522410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Keshia Adolpho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659785913 PECOS PAC ID: 9739418583 Enrollment ID: I20190904002526 |
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