Janelle Hultman in Surprise - Assisted Living, Mental Illness
Janelle Hultman - NPI 1952457392
Janelle Hultman is a Assisted Living, Mental Illness in Surprise, Arizona. Janelle Hultman practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Janelle Hultman is 1952457392. The last update date is 2020-08-22.
Janelle Hultman's current location address is 13401 W Fargo Dr, Surprise, Arizona. You can contact this provider via phone number 6235815687. The mailing address for Janelle Hultman is 13401 W Fargo Dr, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Janelle Hultman |
|---|---|
| Address | 13401 W Fargo Dr, Surprise, Arizona |
| Phone Number | 6235815687 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Hultman Evonne Janelle |
| Telephone Number | 6235815687 |
NPI Number Detail
| NPI Number | 1952457392 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 13401 W Fargo Dr |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853745205 |
| Phone Number | 6235815687 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
| Licence No | BH-2695 |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff w |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 118632 | AZ | -- | |
| BH-2695 | AZ | STATE LICENSE |
Post Comment/ Review Below
What is the Janelle Hultman's unique identification number?
The Janelle Hultman has been assigned the NPI (National Provider Identifier) Number 1952457392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Janelle Hultman's facilities are situated?
The facilities of Janelle Hultman are physically located at the following address: 13401 W Fargo Dr, Surprise, AZ, 853745205.
What is Janelle Hultman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Janelle Hultman is Assisted Living, Mental Illness, and the taxonomy code that categorizes this field of expertise is 3104A0625X.
When was the Janelle Hultman's 1952457392 issued?
The Janelle Hultman's 1952457392 was issued on 2007-01-26.
As of what date were the details pertaining to Janelle Hultman last refreshed?
The information related to the Janelle Hultman, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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