Provider Demographics
NPI:1497913883
Name:PEOPLES HEALTH CARE CONNECTION, LLC
Entity Type:Organization
Organization Name:PEOPLES HEALTH CARE CONNECTION, LLC
Other - Org Name:MORNING LIGHT WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEALY
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:910-640-7602
Mailing Address - Street 1:2919 EAST 22ND ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-2001
Mailing Address - Country:US
Mailing Address - Phone:520-326-8953
Mailing Address - Fax:
Practice Address - Street 1:3055 N 1ST AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2512
Practice Address - Country:US
Practice Address - Phone:520-326-8953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health