Organization
SUMMIT HOME WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIYAHU ICKOVIC (CEO)
(602) 960-8030
Entity
Organization
Contact information
Practice address
14001 N 7TH ST STE E109D, PHOENIX, AZ 85022-4382
(602) 960-8030
Mailing address
14001 N 7TH ST STE E109D, PHOENIX, AZ 85022-4382
(602) 960-8030
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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