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Organization
I AM WELLNESS AZ LLC
Active
Organization
I AM WELLNESS AZ LLC
Active
Parent organization
I AM WELLNESS AZ LLC
Other names
Success Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
I AM WELLNESS AZ LLC
Authorized official
SARA RATNER (PRESIDENT, GOVERNMENT PROGRAMS)
(801) 783-1829
Entity
Organization
Contact information
Practice address
2532 W PEORIA AVE STE 173, PHOENIX, AZ 85029-4709
(480) 900-9355
Mailing address
898 N 1200 W STE 201, OREM, UT 84057-3558
(385) 499-5349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
07/31/2024
Last updated
09/24/2024
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