New Life Care Center Int
New Life Care Center Int is an Exclusive Provider Organization in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2013.
- Licensed in
- AZ
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
650 S Country Club Dr Apt 125Mesa, AZ 85210-2341
Phone: (480) 696-9886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child Physical Disabilities Respite Care (primary) | Taxonomy 385HR2065X · Licence 21024 (AZ) |
|---|---|
| Exclusive Provider Organization | Taxonomy 302F00000X · Licence 394330 (AZ) |
Record details
| NPI number | 1023441987 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michaelle Sudney — Manager · (480) 696-9886 |
| NPI enumerated | August 14, 2013 |
| Last updated in NPPES | August 14, 2013 |
| Mailing address | 650 S Country Club Dr Apt 125, Mesa, AZ 85210-2341 |
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