Whalio Doctors

NPI 1023441987

New Life Care Center Int

Organisation Child Physical Disabilities Respite Care Mesa, AZ

Practice location

Address
650 S Country Club Dr APT 125, Mesa, AZ 85210-2341
Phone
(480) 696-9886

Authorised official

Name
Michaelle Sudney
Title
Manager
Phone
(480) 696-9886

Registered specialties (2)

Child Physical Disabilities Respite Care Primary
Respite Care Facility Taxonomy 385HR2065X Licence 21024 (AZ)
Exclusive Provider Organization
Managed Care Organizations Taxonomy 302F00000X Licence 394330 (AZ)

Registry record

NPI
1023441987
Entity type
Organization
NPI issued
14 Aug 2013
Record last updated
14 Aug 2013

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.