Organization
AZCARE4LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZEN ELNAHAS (ADMINISTRATOR/CO-OWENER)
(480) 627-9814
Entity
Organization
Contact information
Practice address
3414 W ALICIA DR # 679, LAVEEN, AZ 85339-3803
(602) 980-0118
Mailing address
9307 S 51ST AVE UNIT 679, LAVEEN, AZ 85339-3929
(480) 627-9814
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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