| Humble Helpings Llc | |
|
1380 E. Broadway Rd. #105 Mesa AZ 85204 | |
| (480) 572-1104 | |
| Not Available |
| Full Name | Humble Helpings Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1380 E. Broadway Rd. #105, Mesa, Arizona |
| Authorized Official Name and Position | Lateka Hampton (ADMINISTRATOR) |
| Authorized Official Contact | 4157450345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humble Helpings Llc 1320 E Broadway Rd Mesa AZ 85204-2353 Ph: (480) 572-1104 | Humble Helpings Llc 1380 E. Broadway Rd. #105 Mesa AZ 85204 Ph: (480) 572-1104 |
| NPI Number | 1528778909 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528778909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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