Juanita Davis in Phoenix - Respite Care, Mental Illness, Child
Juanita Davis - NPI 1053487330
Juanita Davis is a Respite Care, Mental Illness, Child in Phoenix, Arizona. Juanita Davis practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Juanita Davis is 1053487330. The last update date is 2007-07-08.
Juanita Davis's current location address is 3444 E Melody Dr, Phoenix, Arizona. You can contact this provider via phone number 6024549440. The mailing address for Juanita Davis is 3444 E Melody Dr, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juanita Davis |
|---|---|
| Address | 3444 E Melody Dr, Phoenix, Arizona |
| Phone Number | 6024549440 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1053487330 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3444 E Melody Dr |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850427265 |
| Phone Number | 6024549440 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Respite Care, Mental Illness, Child |
|---|---|
| Taxonomy | 385Hr2055X |
| Licence No | 10729 |
|
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 |
|---|---|---|---|
| 112538 | AZ | AHCCCS ID NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Juanita Davis by the Centers for Medicare & Medicaid Services?
The Juanita Davis has been assigned the NPI (National Provider Identifier) 1053487330. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Juanita Davis's facilities are geographically located?
The facilities of Juanita Davis are physically situated at the following location: 3444 E Melody Dr, Phoenix, AZ, 850427265.
What is Juanita Davis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Juanita Davis'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 the Centers for Medicare & Medicaid Services originally issue the 1053487330 to Juanita Davis?
The Centers for Medicare & Medicaid Services originally issued the 1053487330 to Juanita Davis on 2006-11-28.
When was the Juanita Davis's information last updated?
The Juanita Davis's information was last updated on 2007-07-08.