Organization
BUENA SUERTE, INC.
Active
Other names
Comfort Keepers #697
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER L GAMBLE (PRESIDENT)
(301) 639-3822
Entity
Organization
Contact information
Practice address
387 LAKE HAVASU AVE S, SUITE 102, LAKE HAVASU CITY, AZ 86403-9306
(928) 855-0005
(928) 855-0075
Mailing address
387 LAKE HAVASU AVE S, SUITE 102, LAKE HAVASU CITY, AZ 86403-9306
(928) 855-0005
(928) 855-0075
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
AZ
347C00000X
Private Vehicle
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
531351
—
AZ
Enumeration date
07/01/2010
Last updated
04/30/2011
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