| Active Friendly Care LLC | |
|
2511 W Indian School Rd Ste 1043 Phoenix AZ 85017-4302 | |
| (602) 975-8743 | |
| Not Available |
| Full Name | Active Friendly Care LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 2511 W Indian School Rd Ste 1043, Phoenix, Arizona |
| Authorized Official Name and Position | Brenda Campbell (ADMINISTRATOR) |
| Authorized Official Contact | 6029758743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Friendly Care LLC 2432 W Peoria Ave Ste 1227 Phoenix AZ 85029-4737 Ph: (602) 975-8743 | Active Friendly Care LLC 2511 W Indian School Rd Ste 1043 Phoenix AZ 85017-4302 Ph: (602) 975-8743 |
| NPI Number | 1184402950 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184402950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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