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NPI 1144097825 · Public Health or Welfare Agency · San Tan Valley, AZ
Provider details
- NPI number
- 1144097825
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Matilda Boachie, Ceo/President(860) 967-2388
Specialties & taxonomies
Agencies
Practice location
316 W Pinnacle Ridge Dr
San Tan Valley, AZ 85140-7047
Phone: (860) 967-2388
Approximate (ZIP-level) locationGet directions
Mailing address
316 W Pinnacle Ridge Dr
San Tan Valley, AZ 85140-7047
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2023-12-04
- Certified
- 2023-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.