Organization
LNA CNA MEDCIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LONG LNA, EMT (MEMBER-MANAGER)
(602) 314-1623
Entity
Organization
Contact information
Practice address
6825 S 7TH ST UNIT 91312, PHOENIX, AZ 85042-5440
(602) 314-1623
Mailing address
6825 S 7TH ST UNIT 91312, PHOENIX, AZ 85042-5440
(602) 314-1623
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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