Provider Demographics
NPI:1093259244
Name:SLIMENVY, LLC
Entity Type:Organization
Organization Name:SLIMENVY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ATEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-888-2225
Mailing Address - Street 1:265 N FEDERAL ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3192
Mailing Address - Country:US
Mailing Address - Phone:602-888-2225
Mailing Address - Fax:
Practice Address - Street 1:265 N FEDERAL ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-3192
Practice Address - Country:US
Practice Address - Phone:602-888-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center