Sofia T Menchaca in Casa Grande - Respite Care, Mental Illness, Child
Sofia T Menchaca - NPI 1104982990
Sofia T Menchaca is a Respite Care, Mental Illness, Child in Casa Grande, Arizona. Sofia T Menchaca practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Sofia T Menchaca is 1104982990. The last update date is 2007-07-08.
Sofia T Menchaca's current location address is 1016 S Campbell Dr, Casa Grande, Arizona. You can contact this provider via phone number 5208360679. The mailing address for Sofia T Menchaca is 1016 S Campbell Dr, Casa Grande, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sofia T Menchaca |
|---|---|
| Address | 1016 S Campbell Dr, Casa Grande, Arizona |
| Phone Number | 5208360679 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104982990 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1016 S Campbell Dr |
|---|---|
| City | Casa Grande |
| State | Arizona (AZ) |
| Post Code | 852225004 |
| Phone Number | 5208360679 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Respite Care, Mental Illness, Child |
|---|---|
| Taxonomy | 385Hr2055X |
| Licence No | 3763 |
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Definition: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
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What is the unique 10-digit identification code assigned to Sofia T Menchaca by the Centers for Medicare & Medicaid Services?
The Sofia T Menchaca has been issued the NPI (National Provider Identifier) 1104982990, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Sofia T Menchaca's physical address?
The Sofia T Menchaca is physically located at 1016 S Campbell Dr, in the city of Casa Grande, AZ, with the postal code 852225004.
What is Sofia T Menchaca's area of expertise and its corresponding taxonomy classification?
The Sofia T Menchaca's field of specialization is Respite Care, Mental Illness, Child, and it falls under the taxonomy code 385Hr2055X, which categorizes healthcare providers based on their areas of practice.
On what date did the Sofia T Menchaca receive its 1104982990 assignment from the Centers for Medicare & Medicaid Services?
The Sofia T Menchaca was assigned its 1104982990 by the Centers for Medicare & Medicaid Services on 2006-12-28.
As of what date were the details related to Sofia T Menchaca most recently updated or revised?
The information pertaining to Sofia T Menchaca, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.