Annetta Hardin in Glendale - Respite Care, Mental Illness, Child

Annetta Hardin - NPI 1699841379

Annetta Hardin is a Respite Care, Mental Illness, Child in Glendale, Arizona. Annetta Hardin practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Annetta Hardin is 1699841379. The last update date is 2009-02-10.

Annetta Hardin's current location address is 4615 W Lawrence Ln, Glendale, Arizona. You can contact this provider via phone number 6233345203. The mailing address for Annetta Hardin is 4615 W Lawrence Ln, Glendale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Annetta Hardin
Address 4615 W Lawrence Ln, Glendale, Arizona
Phone Number 6233345203
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1699841379
Provider Enumeration Date 2006-11-27
Last Updated Date 2009-02-10

Provider Mailing Address Detail

Address 4615 W Lawrence Ln
City Glendale
State Arizona (AZ)
Post Code 853025229
Phone Number 6233345203
Fax Number

Provider's Primary Taxonomy Detail

Speciality Respite Care, Mental Illness, Child
Taxonomy 385Hr2055X
Licence No 11688
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
132419 AZ AHCCCS ID NUMBER

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FAQs about Annetta Hardin

What is the unique identifier code issued to Annetta Hardin by the Centers for Medicare & Medicaid Services?

The Annetta Hardin has been assigned the NPI (National Provider Identifier) 1699841379. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Annetta Hardin is located?

The Annetta Hardin is situated at the following address: 4615 W Lawrence Ln, Glendale, AZ, 853025229.

What is the area of specialization for Annetta Hardin, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Annetta Hardin is Respite Care, Mental Illness, Child, and the corresponding taxonomy code that categorizes this area of expertise is 385Hr2055X.

On what date did the Centers for Medicare & Medicaid Services issue the 1699841379 to Annetta Hardin?

The Annetta Hardin received its 1699841379 assignment from the Centers for Medicare & Medicaid Services on 2006-11-27.

When was the information pertaining to Annetta Hardin most recently updated or revised?

The details related to Annetta Hardin, including its address, specialty, and other relevant information, were last updated or revised on 2009-02-10.

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