Provider Demographics
NPI:1992576763
Name:PERRY HEALTH
Entity type:Organization
Organization Name:PERRY HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIES HEALTH COACH
Authorized Official - Prefix:
Authorized Official - First Name:BRANDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIENOVI CALDERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-209-5493
Mailing Address - Street 1:30468 N MAPLE CHASE DR
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85143-4121
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30468 N MAPLE CHASE DR
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85143-4121
Practice Address - Country:US
Practice Address - Phone:480-209-5493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty