NPI 1013088780
Src1 II LLC
Practice location
- Address
- 6240 E Thomas Rd Suite 203, Scottsdale, AZ 85251-7017
- Phone
- (480) 946-4145
- Fax
- (480) 946-1280
Authorised official
- Name
- Patricia Ann Kuzia
- Title
- Executive Director
- Phone
- (480) 946-4145
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1013088780
- Entity type
- Organization
- NPI issued
- 13 Nov 2006
- Record last updated
- 11 Jul 2008
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.