NPI | 1558898635 |
---|---|
Former Legal Business Name | ASURANCE HEALTH AND WELLNESS |
Other Name | DESERT ROSE |
Entity Type | Organization |
Authorized Contact | ROSE MARY LOPEZ President And CEO 520-721-1887 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 251S00000X (Licence: AZ CSGL8299) |
261Q00000X Clinic/Center | |
Enumeration Date | 2017-05-19 |
Last Update Date | 2021-05-25 |