Organization · NPI-2

Angel Heart Health Services LLC

Community/Behavioral Health · Scottsdale, AZ

NPI number1326653312
StatusActive
Last updated in NPPESSep 15, 2020

Details

NPI
1326653312
Entity type
Organization (NPI-2)
Legal business name
Angel Heart Health Services LLC
Organization subpart
No
Enumeration date
Sep 15, 2020
Certification date
Sep 15, 2020
Last updated
Sep 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Other names

  • Angel Heart Health Services LLC (Doing Business As)

Practice location

8111 E Thomas Rd Ste 124
Scottsdale, AZ 85251-5876

Phone 702-416-5443

Mailing address

8111 E Thomas Rd Ste 124
Scottsdale, AZ 85251-5876

Phone 702-416-5443

Authorized official

Latasha Nicole Conway
Owner
7024165443

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