Blooming Desert Prickly Llc

LBN: Blooming Desert Prickly Llc
Blooming Desert Prickly Llc is an health care organization with primary practice located at 909 W Grove Pkwy Apt 2029 , Tempe AZ 85283-8422. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Blooming Desert Prickly Llc can be contacted via phone (775) 287-9463, or through Ikehara, Laryssa via phone (775) 287-9463.

Contact Information

Primary practice address
909 W Grove Pkwy Apt 2029 Tempe AZ 85283-8422
Phone: (775) 287-9463
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ikehara, Laryssa
Phone: (775) 287-9463

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1114667987
LBN Legal business name Blooming Desert Prickly Llc
DBA Doing business as
Authorized official Ikehara, Laryssa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2022
Last updated Mar 30th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114667987 NPPES
Other 000000000 NONE

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