| Ska-shifra Llc | |
|
926 S 176th Ave Goodyear AZ 85338-4613 | |
| (623) 282-0663 | |
| Not Available |
| Full Name | Ska-shifra Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 926 S 176th Ave, Goodyear, Arizona |
| Authorized Official Name and Position | Bob Kabamba (PRO) |
| Authorized Official Contact | 6232820663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ska-shifra Llc 7136 N 73rd Dr Glendale AZ 85303-2569 Ph: () - | Ska-shifra Llc 926 S 176th Ave Goodyear AZ 85338-4613 Ph: (623) 282-0663 |
| NPI Number | 1194316802 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 01/27/2021 |
| Certification Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194316802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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