New Merveille 2 Llc | |
4821 N 108th Ave Phoenix AZ 85037-5471 | |
(817) 707-2798 | |
Not Available |
Full Name | New Merveille 2 Llc |
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Speciality | Psychiatric Residential Treatment Facility |
Location | 4821 N 108th Ave, Phoenix, Arizona |
Authorized Official Name and Position | Desire N Nkomezi (OWNER) |
Authorized Official Contact | 8177072798 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Merveille 2 Llc 4821 N 108th Ave Phoenix AZ 85037-5471 Ph: (817) 707-2798 | New Merveille 2 Llc 4821 N 108th Ave Phoenix AZ 85037-5471 Ph: (817) 707-2798 |
NPI Number | 1073349874 |
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Provider Enumeration Date | 09/10/2024 |
Last Update Date | 02/20/2025 |
Certification Date | 02/20/2025 |
Identifier | Type | State | Issuer |
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1073349874 | NPI | - | NPPES |
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