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Organization
ULU HEALTH, LLC
Active
Organization
ULU HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE HALE III (OWNER)
(805) 291-7789
Entity
Organization
Contact information
Practice address
648 N 5TH AVE, PHOENIX, AZ 85003-1529
(805) 291-7789
Mailing address
648 N 5TH AVE, PHOENIX, AZ 85003-1529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QD0000X
Dental Clinic/Center
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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