Arizona Training Program - Earll in Phoenix - Intermediate Care Facility, Intellectual Disabilities
Arizona Training Program - Earll - NPI 1306001052
Arizona Training Program - Earll is a Intermediate Care Facility, Intellectual Disabilities in Phoenix, Arizona. Arizona Training Program - Earll practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Arizona Training Program - Earll is 1306001052. The last update date is 2008-07-22.
Arizona Training Program - Earll's current location address is 1789 W Jefferson St, Phoenix, Arizona. You can contact this provider via phone number 6025426857 and fax number 6023641322. The mailing address for Arizona Training Program - Earll is 1789 W Jefferson St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Arizona Training Program - Earll |
|---|---|
| Address | 1789 W Jefferson St, Phoenix, Arizona |
| Phone Number | 6025426857 |
| Fax Number | 6023641322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Brent Barbara |
| Telephone Number | 6025426857 |
NPI Number Detail
| NPI Number | 1306001052 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 1789 W Jefferson St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85005 |
| Phone Number | 6025426857 |
| Fax Number | 6023641322 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40030 | AZ | -- |
Post Comment/ Review Below
What is the Arizona Training Program - Earll's unique identification number?
The Arizona Training Program - Earll has been assigned the NPI (National Provider Identifier) Number 1306001052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Arizona Training Program - Earll?
The Arizona Training Program - Earll is situated at 1789 W Jefferson St, in the city of Phoenix, state of AZ, with the zip code 85005.
What is Arizona Training Program - Earll's area of expertise and its corresponding taxonomy classification?
The Arizona Training Program - Earll's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Arizona Training Program - Earll receive its 1306001052 assignment from the Centers for Medicare & Medicaid Services?
The Arizona Training Program - Earll was assigned its 1306001052 on 2008-07-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Arizona Training Program - Earll's information last updated?
The Arizona Training Program - Earll's information was last updated on 2008-07-22.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1104829498
Address: 1416 Crown Drive, Kirksville, MO
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA