Organization
COMMUNITY HEALTH AND IMMUNIZATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH SUAZO (DIRECTOR OF COMMUNITY DEVELOPMENT)
(480) 646-9099
Entity
Organization
Contact information
Practice address
37 VILLA RD STE 301, GREENVILLE, SC 29615-3038
(864) 451-7943
Mailing address
668 N 44TH ST STE 100W, PHOENIX, AZ 85008-6507
(877) 358-3733
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MMD.7722
SC
Other
Enumeration date
06/04/2014
Last updated
09/29/2021
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