Organization
POPS PROVISIONAL PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIA DIANNE CRAYTON LPN (ADMINISTRATOR)
(623) 693-3112
Entity
Organization
Contact information
Practice address
29741 W AMELIA AVE, BUCKEYE, AZ 85396-7169
(623) 693-3112
(623) 434-3882
Mailing address
29741 W AMELIA AVE, BUCKEYE, AZ 85396-7169
(623) 693-3112
(623) 434-3882
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
044613
AZ
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us