NPI 1437862695

Ark Covernant

Organisation PACE Provider Organization Maricopa, AZ

Practice location

Address: 45702 W Starlight Dr, Maricopa, AZ 85139-6656
Phone: (480) 667-8101
Mailing address: 44202 W Granite Dr, Maricopa, AZ 85139-8868

Authorised official

Name: Ngwi Rita Etiendem
Title: RN
Phone: (480) 667-8101

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Arizona →

Registry record

NPI: 1437862695
Entity type: Organization
NPI issued: 3 Jan 2023
Record last updated: 3 Jan 2023

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.