Amazing Grace Health Llc

LBN: Amazing Grace Health Llc
Amazing Grace Health Llc is an health care organization with primary practice located at 17156 W Tonto St , Goodyear AZ 85338-1295. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Amazing Grace Health Llc can be contacted via phone (623) 206-2311, or through Iwuala, Leonard via phone (623) 206-2311.

Contact Information

Primary practice address
17156 W Tonto St Goodyear AZ 85338-1295
Phone: (623) 206-2311
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Iwuala, Leonard
Phone: (623) 206-2311

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1457023723
LBN Legal business name Amazing Grace Health Llc
DBA Doing business as
Authorized official Iwuala, Leonard
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2021
Last updated Oct 4th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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