| Heroic Housing | |
|
6551 S 43rd Ln Laveen AZ 85339-6246 | |
| (480) 613-7677 | |
| Not Available |
| Full Name | Heroic Housing |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 6551 S 43rd Ln, Laveen, Arizona |
| Authorized Official Name and Position | Gary a Scott (DIRECTOR) |
| Authorized Official Contact | 4806137677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heroic Housing 15411 W Waddell Rd Ste 102-128 Surprise AZ 85379-5170 Ph: (480) 613-7677 | Heroic Housing 6551 S 43rd Ln Laveen AZ 85339-6246 Ph: (480) 613-7677 |
| NPI Number | 1649086992 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649086992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | () | Primary |
| 177F00000X | Lodging | () | Secondary |
| 253Z00000X | In Home Supportive Care | () | Secondary |
| 376J00000X | Homemaker | () | Secondary |
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