Individual
IKEIA BANKHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1632 W ESTES WAY, PHOENIX, AZ 85041-2616
(330) 809-5867
Mailing address
1632 W ESTES WAY, PHOENIX, AZ 85041-2616
(330) 809-5867
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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