Provider Demographics
NPI:1134605041
Name:PEOPLES HEALTH CARE CONNECTION, LLC
Entity type:Organization
Organization Name:PEOPLES HEALTH CARE CONNECTION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-795-3308
Mailing Address - Street 1:3310 N EL BURRITO AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-3404
Mailing Address - Country:US
Mailing Address - Phone:520-300-4976
Mailing Address - Fax:
Practice Address - Street 1:3310 N EL BURRITO AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-3404
Practice Address - Country:US
Practice Address - Phone:520-300-4976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEOPLES HEALTH CARE CONNECTION, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty