Organization
LUMEN CHRISTI OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTINE AIKHU (HEAD OF OPERATIONS)
(757) 338-4284
Entity
Organization
Contact information
Practice address
2436 W TONTO ST, PHOENIX, AZ 85009-5804
(757) 338-4284
Mailing address
2436 W TONTO ST, PHOENIX, AZ 85009-5804
(757) 338-4284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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