NPI 1093986499

St Johns Concho Senior Citizens Assoc

Organisation Voluntary or Charitable Agency St Johns, AZ

Practice location

Address: 395 South First West St St Johns Concho Senior Citizens Assoc, St Johns, AZ 85936-0887
Phone: (928) 337-2144
Fax: (928) 337-2581
Mailing address: PO Box 887, St Johns, AZ 85936-0887

Authorised official

Name: Betty Jo Clanton
Title: President
Phone: (928) 337-2144

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X Licence P0496 (AZ)

Other Voluntary or Charitable providers in Arizona →

Registry record

NPI: 1093986499
Entity type: Organization
NPI issued: 13 Mar 2008
Record last updated: 13 Mar 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.