Organization
AVOCA HEALTHCARE GROUP, LLC
Active
Organization
AVOCA HEALTHCARE GROUP, LLC
Active
Other names
Alott of Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANDIS MAEZ (DIRECTOR)
(480) 399-8735
Entity
Organization
Contact information
Practice address
2237 N AVOCA, MESA, AZ 85207-2028
(480) 399-8735
Mailing address
2414 W OLD PAINT TRL, PHOENIX, AZ 85086-6608
(480) 399-8735
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
310400000X
Assisted Living Facility
Primary
AL10378H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266067
—
AZ
Enumeration date
02/19/2018
Last updated
02/19/2018
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