Coretta Muhammad in Tolleson - Respite Care, Mental Illness, Child
Coretta Muhammad - NPI 1073688552
Coretta Muhammad is a Respite Care, Mental Illness, Child in Tolleson, Arizona. Coretta Muhammad practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Coretta Muhammad is 1073688552. The last update date is 2010-04-08.
Coretta Muhammad's current location address is 9371 W Williams St, Tolleson, Arizona. You can contact this provider via phone number 6238486252. The mailing address for Coretta Muhammad is 9371 W Williams St, Tolleson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Coretta Muhammad |
|---|---|
| Address | 9371 W Williams St, Tolleson, Arizona |
| Phone Number | 6238486252 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073688552 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2010-04-08 |
Provider Mailing Address Detail
| Address | 9371 W Williams St |
|---|---|
| City | Tolleson |
| State | Arizona (AZ) |
| Post Code | 853538342 |
| Phone Number | 6238486252 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Respite Care, Mental Illness, Child |
|---|---|
| Taxonomy | 385Hr2055X |
| Licence No | 1419 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 816332 | AZ | AHCCCS ID NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Coretta Muhammad?
The Coretta Muhammad has been issued the NPI (National Provider Identifier) 1073688552 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Coretta Muhammad?
The Coretta Muhammad is situated at 9371 W Williams St, in the city of Tolleson, state of AZ, with the zip code 853538342.
What is the Coretta Muhammad's specialty and taxonomy code?
The Coretta Muhammad's specialty is Respite Care, Mental Illness, Child, and the corresponding taxonomy code is 385Hr2055X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073688552 to Coretta Muhammad?
The Centers for Medicare & Medicaid Services originally issued the 1073688552 to Coretta Muhammad on 2006-11-21.
When was the information pertaining to Coretta Muhammad most recently updated or revised?
The details related to Coretta Muhammad, including its address, specialty, and other relevant information, were last updated or revised on 2010-04-08.