Grace Of Serenity Living, Inc in Phoenix - Community/behavioral Health
Grace Of Serenity Living, Inc - NPI 1528184959
Grace Of Serenity Living, Inc is a Community/behavioral Health in Phoenix, Arizona. Grace Of Serenity Living, Inc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Grace Of Serenity Living, Inc is 1528184959. The last update date is 2011-10-11.
Grace Of Serenity Living, Inc's current location address is 4620 N 16th St, Phoenix, Arizona. You can contact this provider via phone number 6024414690 and fax number 6024414694. The mailing address for Grace Of Serenity Living, Inc is 4620 N 16th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grace Of Serenity Living, Inc |
|---|---|
| Address | 4620 N 16th St, Phoenix, Arizona |
| Phone Number | 6024414690 |
| Fax Number | 6024414694 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Meade Tammy |
| Telephone Number | 6024414690 |
NPI Number Detail
| NPI Number | 1528184959 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2011-10-11 |
Provider Mailing Address Detail
| Address | 4620 N 16th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850165121 |
| Phone Number | 6024414690 |
| Fax Number | 6024414694 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | BH-3929 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 931271 | AZ | 2 |
Post Comment/ Review Below
What is the Grace Of Serenity Living, Inc's 1528184959?
The Grace Of Serenity Living, Inc's NPI (National Provider Identifier) Number is 1528184959. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Grace Of Serenity Living, Inc?
The Grace Of Serenity Living, Inc is physically situated at 4620 N 16Th St, in the city of Phoenix, state of AZ, with the postal code 850165121.
What is Grace Of Serenity Living, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Grace Of Serenity Living, Inc's area of specialization is Community/behavioral Health, and the corresponding taxonomy code that categorizes this field of practice is 251S00000X.
On what date did the Grace Of Serenity Living, Inc receive its 1528184959 assignment from the Centers for Medicare & Medicaid Services?
The Grace Of Serenity Living, Inc was assigned its 1528184959 by the Centers for Medicare & Medicaid Services on 2007-03-21.
When was the information pertaining to Grace Of Serenity Living, Inc most recently updated or revised?
The details related to Grace Of Serenity Living, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-11.
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