| NPI | 1184165565 |
|---|---|
| Doing Business As | INNOVATIVE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JANE ABUCHA Owner 623-399-9645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2020-09-22 |