Doctor Name: | MIRNES MEHIC |
NPI Number: | 1942506019 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | AL7900H |
Business Practice Address: | 2018 E. Wagoner Rd. Phoenix, AZ - 85022 |
Business Phone Number: | 4807204591 |
Business Fax Number: | 6027882246 |
Mailing Address: | 2018 E. Wagoner Rd., PHOENIX |
State: | AZ |
Postal Code: | 85022 |
Phone Number: | 4807204591 |
Fax Number: | 6027882246 |
NPI Enumeration Date: | 02/07/2011 |
NPI Last Update Date: | 02/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL7900H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |