Whalio Doctors

NPI 1023572658

Nevada First Choice

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Tempe, AZ

Practice location

Address
209 E Baseline Rd, Tempe, AZ 85283-1269
Phone
(702) 203-5591
Mailing address
6524 Copper Smith CT, North Las Vegas, NV 89084-2216

Authorised official

Name
Sharon Laawson
Title
Owner
Phone
(702) 203-5591

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1023572658
Entity type
Organization
NPI issued
28 Jan 2019
Record last updated
2 Jun 2020

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.