Organization
ACTIVE FRIENDLY CARE LLC
Active
Other names
Active Friendly Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA CAMPBELL (ADMINISTRATOR)
(602) 975-8743
Entity
Organization
Contact information
Practice address
2511 W INDIAN SCHOOL RD STE 1043, PHOENIX, AZ 85017-4302
(602) 975-8743
Mailing address
2432 W PEORIA AVE STE 1227, PHOENIX, AZ 85029-4737
(602) 975-8743
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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