Stanley Jamar Pruitt in Queen Creek - Respite Care, Mental Illness, Child
Stanley Jamar Pruitt - NPI 1396801957
Stanley Jamar Pruitt is a Respite Care, Mental Illness, Child in Queen Creek, Arizona. Stanley Jamar Pruitt practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Stanley Jamar Pruitt is 1396801957. The last update date is 2007-07-08.
Stanley Jamar Pruitt's current location address is 35510 N Belgian Blue Ct, Queen Creek, Arizona. You can contact this provider via phone number 6193708544 and fax number 4806415768. The mailing address for Stanley Jamar Pruitt is 35510 N Belgian Blue Ct, Queen Creek, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stanley Jamar Pruitt |
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Address | 35510 N Belgian Blue Ct, Queen Creek, Arizona |
Phone Number | 6193708544 |
Fax Number | 4806415768 |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1396801957 |
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Provider Enumeration Date | 2006-12-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 35510 N Belgian Blue Ct |
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City | Queen Creek |
State | Arizona (AZ) |
Post Code | 852435518 |
Phone Number | 6193708544 |
Fax Number | 4806415768 |
Provider's Primary Taxonomy Detail
Speciality | Respite Care, Mental Illness, Child |
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Taxonomy | 385Hr2055X |
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 issued to Stanley Jamar Pruitt by the Centers for Medicare & Medicaid Services?
The Stanley Jamar Pruitt has been assigned the NPI (National Provider Identifier) 1396801957 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Stanley Jamar Pruitt located?
The Stanley Jamar Pruitt is located at 35510 N Belgian Blue Ct, Queen Creek, AZ 852435518.
What is Stanley Jamar Pruitt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stanley Jamar Pruitt's specialized field of practice is Respite Care, Mental Illness, Child, and the corresponding taxonomy code that categorizes this area of specialization is 385Hr2055X.
On what date did the Stanley Jamar Pruitt receive its 1396801957 assignment from the Centers for Medicare & Medicaid Services?
The Stanley Jamar Pruitt was assigned its 1396801957 by the Centers for Medicare & Medicaid Services on 2006-12-28.
When was the information regarding Stanley Jamar Pruitt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stanley Jamar Pruitt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.