Patricia Willis in Mesa - Respite Care, Mental Illness, Child
Patricia Willis - NPI 1811062359
Patricia Willis is a Respite Care, Mental Illness, Child in Mesa, Arizona. Patricia Willis practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Patricia Willis is 1811062359. The last update date is 2007-07-08.
Patricia Willis's current location address is 541 N Lewis, Mesa, Arizona. You can contact this provider via phone number 4805933803. The mailing address for Patricia Willis is 541 N Lewis, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Willis |
|---|---|
| Address | 541 N Lewis, Mesa, Arizona |
| Phone Number | 4805933803 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1811062359 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 541 N Lewis |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852015910 |
| Phone Number | 4805933803 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Respite Care, Mental Illness, Child |
|---|---|
| Taxonomy | 385Hr2055X |
| Licence No | 9482 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 916182 | AZ | AHCCCS ID NUMBER |
Post Comment/ Review Below
What is the Patricia Willis's 1811062359?
The Patricia Willis's NPI (National Provider Identifier) Number is 1811062359. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Patricia Willis is located?
The Patricia Willis is situated at the following address: 541 N Lewis, Mesa, AZ, 852015910.
What is Patricia Willis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patricia Willis's area of specialization is Respite Care, Mental Illness, Child, and the corresponding taxonomy code that categorizes this field of practice is 385Hr2055X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811062359 to Patricia Willis?
The Patricia Willis received its 1811062359 assignment from the Centers for Medicare & Medicaid Services on 2006-11-21.
As of what date were the details related to Patricia Willis most recently updated or revised?
The information pertaining to Patricia Willis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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