Organization
TUMBLEWEED CLUB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY JOSEPOH CLARIDGE (OWNER)
(623) 246-1000
Entity
Organization
Contact information
Practice address
13210 W VAN BUREN ST STE 112, GOODYEAR, AZ 85338-1164
(623) 300-2858
Mailing address
13210 W VAN BUREN ST STE 112, GOODYEAR, AZ 85338-1164
(623) 300-2858
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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