Organization
BRUNCUSO HOLDINGS CHAPTER TWO LLC
Active
Parent organization
BRUNCUSO HOLDINGS CHAPTER TWO LLC
Other names
Transitional Care Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRUNCUSO HOLDINGS CHAPTER TWO LLC
Authorized official
TRACI MANCUSO (OWNER/OPERATOR)
(206) 755-6699
Entity
Organization
Contact information
Practice address
4425 E VILLA CASSANDRA WAY, CAVE CREEK, AZ 85331-9564
(206) 755-6699
Mailing address
4425 E VILLA CASSANDRA WAY, CAVE CREEK, AZ 85331-9564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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