NPI | 1669897385 |
---|---|
Former Legal Business Name | ASSURANCE HEALTH AND WELLNESS |
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 | 261Q00000X Clinic/Center (Licence: AZ OTC8060) |
Enumeration Date | 2014-03-04 |
Last Update Date | 2023-04-21 |