Dale Philip Ferguson in Peoria - Respite Care, Mental Illness, Child

Dale Philip Ferguson - NPI 1790844322

Dale Philip Ferguson is a Respite Care, Mental Illness, Child in Peoria, Arizona. Dale Philip Ferguson practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Dale Philip Ferguson is 1790844322. The last update date is 2007-07-08.

Dale Philip Ferguson's current location address is 8770 W Paradise Dr, Peoria, Arizona. You can contact this provider via phone number 6234868307. The mailing address for Dale Philip Ferguson is 8770 W Paradise Dr, Peoria, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale Philip Ferguson
Address 8770 W Paradise Dr, Peoria, Arizona
Phone Number 6234868307
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1790844322
Provider Enumeration Date 2006-12-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8770 W Paradise Dr
City Peoria
State Arizona (AZ)
Post Code 85345
Phone Number 6234868307
Fax Number

Provider's Primary Taxonomy Detail

Speciality Respite Care, Mental Illness, Child
Taxonomy 385Hr2055X
Licence No 11264
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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FAQs about Dale Philip Ferguson

What is the unique 10-digit identification code assigned to Dale Philip Ferguson by the Centers for Medicare & Medicaid Services?

The Dale Philip Ferguson has been issued the NPI (National Provider Identifier) 1790844322, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Dale Philip Ferguson?

The Dale Philip Ferguson is situated at 8770 W Paradise Dr, in the city of Peoria, state of AZ, with the zip code 85345.

What is Dale Philip Ferguson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dale Philip Ferguson is Respite Care, Mental Illness, Child, and the taxonomy classification code that categorizes this area of expertise is 385Hr2055X.

When did the Dale Philip Ferguson receive its 1790844322?

The Dale Philip Ferguson was issued its 1790844322 on 2006-12-08, which is the date when the organization was assigned this unique identifier.

As of what date were the Dale Philip Ferguson's details last updated?

The information pertaining to the Dale Philip Ferguson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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