La Casa Serena
La Casa Serena is a Health Maintenance Organization in Eagar, Arizona. Licensed in Arizona. Registered with an NPI since 2008.
- Licensed in
- AZ
- In the registry since
- 2008
Practice location Address checks out
324 E 1st StEagar, AZ 85925-0609
Phone: (928) 333-0151
Fax: (928) 333-0154
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence AL6954 (AZ) |
|---|
Record details
| NPI number | 1073787768 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Hamblin — Owner · (928) 333-0151 |
| NPI enumerated | April 15, 2008 |
| Last updated in NPPES | April 15, 2008 |
| Mailing address | 324 E 1st Street, Eagar, AZ 85925-0609 |