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Organization

MANA O NANI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DIANA M URIBE (CASE MANAGER/)
(833) 361-0040
Entity
Organization

Contact information

Practice address
64 E BROADWAY RD, TEMPE, AZ 85282-1353
(833) 361-0040
Mailing address
999 E BASELINE RD APT 2208, TEMPE, AZ 85283-1351
(833) 361-0040

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
Primary
172A00000X
Driver
174200000X
Meals Provider
177F00000X
Lodging Provider
251B00000X
Case Management Agency
282J00000X
Religious Nonmedical Health Care Institution
347C00000X
Private Vehicle

Other

Enumeration date
01/26/2023
Last updated
01/26/2023
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