Organization
ADOBE CARE AND WELLNESS NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYME AMBROSE (CEO)
(480) 339-1780
Entity
Organization
Contact information
Practice address
4041 S MCCLINTOCK DR, TEMPE, AZ 85282-5879
(480) 339-1780
(602) 357-4604
Mailing address
4041 S MCCLINTOCK DR, TEMPE, AZ 85282-5879
(480) 339-1780
(602) 357-4604
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
479183
—
AZ
Enumeration date
11/09/2022
Last updated
11/09/2022
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