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Elw Health Center LLC

Point of Service in Phoenix, AZ. Organization (NPI-2).

NPI number1447644711
StatusActive
Last updated in NPPESApr 1, 2015

Details

NPI
1447644711
Entity type
Organization (NPI-2)
Legal business name
Elw Health Center LLC
Organization subpart
No
Enumeration date
Mar 25, 2015
Last updated
Apr 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305S00000X Point of ServiceAP2129AZYes
305S00000X Point of Service37050AZ
305S00000X Point of ServiceAP2433AZ
305S00000X Point of Service42847–
305S00000X Point of Service40062AZ
305S00000X Point of ServiceAP3569AZ

Practice location

3202 E Greenway Rd Ste 1619
Phoenix, AZ 85032-4553

Phone 602-284-8994 · Fax 602-346-9007

Mailing address

3202 E Greenway Rd Ste 1619
Phoenix, AZ 85032-4553

Phone 602-284-8994 · Fax 602-346-9007

Authorized official

Erin Lee Waychoff
Owner
6022848994

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