Buena Suerte, Inc.
NPI #1003128349 in Lake Havasu City, Arizona
Provider Information
- NPI Number
- 1003128349
- Entity Type
- Organization
- Organization Name
- Buena Suerte, Inc.
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Jul 1, 2010
- Last Updated
- Apr 30, 2011
Practice Location
- Address
- 387 LAKE HAVASU AVE S
- Address 2
- SUITE 102
- City
- Lake Havasu City
- State
- Arizona
- ZIP Code
- 86403-9306
- Phone
- (928) 855-0005
Authorized Official
- Name
- MR. CHRISTOPHER L GAMBLE
- Title
- PRESIDENT
- Phone
- (301) 639-3822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
| In Home Supportive Care |
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