Andrea L Goerke in Tucson - Respite Care, Mental Illness, Child
Andrea L Goerke - NPI 1144393117
Andrea L Goerke is a Respite Care, Mental Illness, Child in Tucson, Arizona. Andrea L Goerke practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Andrea L Goerke is 1144393117. The last update date is 2007-07-08.
Andrea L Goerke's current location address is 3700 N Tucson Blvd, Tucson, Arizona. You can contact this provider via phone number 5203230885. The mailing address for Andrea L Goerke is 3700 N Tucson Blvd, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea L Goerke |
|---|---|
| Address | 3700 N Tucson Blvd, Tucson, Arizona |
| Phone Number | 5203230885 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1144393117 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3700 N Tucson Blvd |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857161039 |
| Phone Number | 5203230885 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Respite Care, Mental Illness, Child |
|---|---|
| Taxonomy | 385Hr2055X |
| Licence No | 5818 |
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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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What is the unique identification code assigned to Andrea L Goerke by the Centers for Medicare & Medicaid Services?
The Andrea L Goerke has been issued the NPI (National Provider Identifier) 1144393117. This 10-digit code 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 Andrea L Goerke?
The Andrea L Goerke is situated at 3700 N Tucson Blvd, in the city of Tucson, state of AZ, with the zip code 857161039.
What is Andrea L Goerke's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Andrea L Goerke'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 Andrea L Goerke receive its 1144393117 assignment from the Centers for Medicare & Medicaid Services?
The Andrea L Goerke was assigned its 1144393117 on 2006-11-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Andrea L Goerke, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Andrea L Goerke, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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