# FAST IV THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fast House Calls
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265153035
- **Authorized official:** MR. WILLIAM DALTON MCGHEE (PRACTICE MANAGER)
- **Authorized official phone:** (480) 885-1827

## Contact information

- **Practice address:** 64 E BROADWAY RD, STE 200, TEMPE, AZ 85282
- **Practice address phone:** (480) 378-8000
- **Mailing address:** 64 E BROADWAY RD, STE 200, TEMPE, AZ 85282
- **Mailing address phone:** (480) 378-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2022
- **Last updated:** 09/08/2022