NPI 1104230853

Heart of Healing Az

Organisation Preferred Provider Organization Phoenix, AZ

Practice location

Address: 4401 N 16th St, Phoenix, AZ 85016-5302
Phone: (602) 413-0424

Authorised official

Name: Aeimee Gloria Diaz
Title: Owner, Practitioner
Phone: (602) 413-0424

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 0764 (AZ)

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Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X Licence 0764 (AZ)

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Registry record

NPI: 1104230853
Entity type: Organization
NPI issued: 19 Jun 2014
Record last updated: 19 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.