Robert Lutton in Mesa - Respite Care, Mental Illness, Child
Robert Lutton - NPI 1124193693
Robert Lutton is a Respite Care, Mental Illness, Child in Mesa, Arizona. Robert Lutton practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Robert Lutton is 1124193693. The last update date is 2007-07-08.
Robert Lutton's current location address is 2908 E Enid Ave, Mesa, Arizona. You can contact this provider via phone number 4806415666. The mailing address for Robert Lutton is 2908 E Enid Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Lutton |
|---|---|
| Address | 2908 E Enid Ave, Mesa, Arizona |
| Phone Number | 4806415666 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124193693 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2908 E Enid Ave |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852044726 |
| Phone Number | 4806415666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Respite Care, Mental Illness, Child |
|---|---|
| Taxonomy | 385Hr2055X |
| Licence No | 5822 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 789662 | AZ | AHCCCS ID NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Robert Lutton?
The Robert Lutton has been issued the NPI (National Provider Identifier) 1124193693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Robert Lutton is physically located?
The Robert Lutton is situated at the following address: 2908 E Enid Ave, Mesa, AZ 852044726.
What is Robert Lutton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Robert Lutton is Respite Care, Mental Illness, Child, and the taxonomy code that classifies this field of practice is 385Hr2055X.
On what date did the Robert Lutton receive the assignment of its 1124193693 from the Centers for Medicare & Medicaid Services?
The Robert Lutton was issued its 1124193693 by the Centers for Medicare & Medicaid Services on 2006-11-21.
As of what date were the details pertaining to Robert Lutton last refreshed?
The information related to the Robert Lutton, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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