Breena Benefield in Waddell - Respite Care, Mental Illness, Child

Breena Benefield - NPI 1912072448

Breena Benefield is a Respite Care, Mental Illness, Child in Waddell, Arizona. Breena Benefield practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Breena Benefield is 1912072448. The last update date is 2007-10-25.

Breena Benefield's current location address is 18357 W Beryl Ct, Waddell, Arizona. You can contact this provider via phone number 6239779484. The mailing address for Breena Benefield is 18357 W Beryl Ct, Waddell, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Breena Benefield
Address 18357 W Beryl Ct, Waddell, Arizona
Phone Number 6239779484
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1912072448
Provider Enumeration Date 2006-11-21
Last Updated Date 2007-10-25

Provider Mailing Address Detail

Address 18357 W Beryl Ct
City Waddell
State Arizona (AZ)
Post Code 853554355
Phone Number 6239779484
Fax Number

Provider's Primary Taxonomy Detail

Speciality Respite Care, Mental Illness, Child
Taxonomy 385Hr2055X
Licence No 11346
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
113717 AZ AHCCCS ID NUMBER

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FAQs about Breena Benefield

What is the Breena Benefield's unique identification number?

The Breena Benefield has been assigned the NPI (National Provider Identifier) Number 1912072448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Breena Benefield's facilities are situated?

The facilities of Breena Benefield are physically located at the following address: 18357 W Beryl Ct, Waddell, AZ, 853554355.

What is Breena Benefield's specialized field of practice, and what is the corresponding taxonomy classification code?

The Breena Benefield's area of specialization is Respite Care, Mental Illness, Child, and the corresponding taxonomy code that categorizes this field of practice is 385Hr2055X.

On what date did Breena Benefield receive its 1912072448 assignment from the Centers for Medicare & Medicaid Services?

The Breena Benefield was assigned its 1912072448 on 2006-11-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Breena Benefield's information last updated?

The Breena Benefield's information was last updated on 2007-10-25.

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