Heart Of Penny LLC
Clinic/Center in Phoenix, AZ. Organization (NPI-2).
NPI number1760154793
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1760154793
- Entity type
- Organization (NPI-2)
- Legal business name
- Heart Of Penny LLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2021
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
2301 W Dunlap Ave Ste 101Phoenix, AZ 85021-2845
Phone 209-702-2260
Mailing address
2301 W Dunlap Ave Ste 101Phoenix, AZ 85021-2845
Phone 209-702-2260
Authorized official
Christina Kay Penny
Owner
2097022260
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