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Organization
LUMANA LTD. CO
Active
Organization
LUMANA LTD. CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIONDA WILLIAMS BROCK RN (CEO)
(702) 329-0799
Entity
Organization
Contact information
Practice address
221 E INDIANOLA AVE, PHOENIX, AZ 85012-2002
(702) 329-0700
Mailing address
1001 S MAIN ST STE 5125, KALISPELL, MT 59901-5635
(702) 329-0799
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
05/08/2020
Last updated
12/22/2023
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