| New Merveille 2 LLC | |
|
4821 N 108th Ave Phoenix AZ 85037-5471 | |
| (817) 707-2798 | |
| Not Available |
| Full Name | New Merveille 2 LLC |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 02/20/2025 |
| Certification Date | 02/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073349874 | NPI | - | NPPES |
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