Organization
NICO HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMA HOSSEINI (MANAGER)
(602) 516-6133
Entity
Organization
Contact information
Practice address
9713 W CARON DR, PEORIA, AZ 85345-6480
(602) 516-6133
Mailing address
9713 W CARON DR, PEORIA, AZ 85345-6480
(602) 516-6133
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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