Organization
GIFT OF HEARTS HOME LLC
Active
Other names
Gift of Hearts Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEL N GAHAKANYI (OWNER)
(605) 413-0143
Entity
Organization
Contact information
Practice address
4547 N 92ND AVE, PHOENIX, AZ 85037-2450
(605) 413-0143
Mailing address
4547 N 92ND AVE, PHOENIX, AZ 85037-2450
(605) 413-0143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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