Provider Demographics
NPI:1902583966
Name:BEST CARE WELLNESS CENTER
Entity Type:Organization
Organization Name:BEST CARE WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BODUDE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:816-456-6860
Mailing Address - Street 1:321 W HATCHER RD STE 206
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-2493
Mailing Address - Country:US
Mailing Address - Phone:602-675-1686
Mailing Address - Fax:602-675-1703
Practice Address - Street 1:321 W HATCHER RD STE 104
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-2491
Practice Address - Country:US
Practice Address - Phone:602-675-1686
Practice Address - Fax:602-675-1703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health