NPI 1003138595

Next Level Adult Developmental Care

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Phoenix, AZ

Practice location

Address: 2324 W Carson Rd, Phoenix, AZ 85041-6408
Phone: (602) 790-7817

Authorised official

Name: Porchel Dontae Patterson
Title: Director
Phone: (602) 790-7817

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X Licence 04942 (AZ)

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Registry record

NPI: 1003138595
Entity type: Organization
NPI issued: 24 Feb 2010
Record last updated: 15 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.