Hadjipentchev, Coca Aida

Hadjipentchev, Coca Aida is an sole proprietor health care provider with primary practice located at 1020 W Pontiac Dr , Phoenix AZ 85027-5713. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Hadjipentchev, Coca Aida can be contacted via phone (623) 748-8108.

Contact Information

Primary practice address
1020 W Pontiac Dr Phoenix AZ 85027-5713
Fax: (623) 466-7753
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALH-5691 Arizona

Profile Details

NPI number 1922271485
LBN Legal business name Hadjipentchev, Coca Aida
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2008
Last updated Apr 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922271485 NPPES
Arizona Other 082984 AHCCCS PROVIDER ID

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