Organization · Type 2 NPI
Iconic Human Design, LLC
Meals Provider · Cornville, AZ
NPI number
1689563405
Active
Practice location
180 S Merritt Ranch Rd
Cornville, AZ 86325-5733
Mailing address
1771 W St Rte 89A Ste 2516
Sedona, AZ 86336-5594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1689563405
Iconic Human Design, LLC's National Provider Identifier is 1689563405, issued on Jun 30, 2025. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Cornville, AZ. The record was last updated on Jun 30, 2025.