Organization
TOTAL SUPPORT HEALTHCARE SERVICES
Active
Other names
Total Support Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
IKECHUKWU 'IKE' IGBOKWE (CEO/OWNER)
(623) 419-4001
Entity
Organization
Contact information
Practice address
12387 W GLENROSA AVE, AVONDALE, AZ 85392-4287
(623) 419-4001
Mailing address
12387 W GLENROSA AVE, AVONDALE, AZ 85392-4287
(623) 419-4001
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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