Engaging Life Integrated Wellness Center

NPI #1023601382 in Youngtown, Arizona

Provider Information

NPI Number
1023601382
Entity Type
Organization
Organization Name
Engaging Life Integrated Wellness Center
Subpart
Yes (part of a larger organization)
Parent Organization
ENGAGING LIFE CENTER
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Feb 18, 2021
Last Updated
Feb 18, 2021

Practice Location

Address
12600 N. 13TH AVENUE
Address 2
SUITE B8
State
Arizona
ZIP Code
85363
Phone
(602) 845-0767

Authorized Official

Name
HENRY MERCADO
Title
CFO
Phone
(602) 845-0767

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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