Maurice Nicholas Willis in Phoenix - Respite Care, Mental Illness, Child
Maurice Nicholas Willis - NPI 1043367352
Maurice Nicholas Willis is a Respite Care, Mental Illness, Child in Phoenix, Arizona. Maurice Nicholas Willis practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Maurice Nicholas Willis is 1043367352. The last update date is 2007-07-08.
Maurice Nicholas Willis's current location address is 1213 E Echo Ln, Phoenix, Arizona. You can contact this provider via phone number 6022420842. The mailing address for Maurice Nicholas Willis is 1213 E Echo Ln, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maurice Nicholas Willis |
|---|---|
| Address | 1213 E Echo Ln, Phoenix, Arizona |
| Phone Number | 6022420842 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1043367352 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1213 E Echo Ln |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850203827 |
| Phone Number | 6022420842 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Respite Care, Mental Illness, Child |
|---|---|
| Taxonomy | 385Hr2055X |
| Licence No | 10990 |
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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 provider identifier assigned to Maurice Nicholas Willis?
The Maurice Nicholas Willis has been issued the NPI (National Provider Identifier) 1043367352 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 Maurice Nicholas Willis?
The Maurice Nicholas Willis is situated at 1213 E Echo Ln, in the city of Phoenix, state of AZ, with the zip code 850203827.
What is Maurice Nicholas Willis's area of expertise and its corresponding taxonomy classification?
The Maurice Nicholas Willis's field of specialization is Respite Care, Mental Illness, Child, and it falls under the taxonomy code 385Hr2055X, which categorizes healthcare providers based on their areas of practice.
On what date did the Maurice Nicholas Willis receive its 1043367352 assignment from the Centers for Medicare & Medicaid Services?
The Maurice Nicholas Willis was assigned its 1043367352 by the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date were the details related to Maurice Nicholas Willis most recently updated or revised?
The information pertaining to Maurice Nicholas Willis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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