NPI 1134491210

Ultimate Integrated Patient Care PLLC

Organisation Custodial Care Facility Peoria, AZ

Practice location

Address: 13714 N Plaza del Rio Blvd, Peoria, AZ 85381-4874
Phone: (480) 718-5986
Fax: (480) 664-6813
Mailing address: PO Box 10214, Glendale, AZ 85318-0214

Authorised official

Name: Valarie C. Loman
Title: Physician
Phone: (480) 718-5986

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 005286 (AZ)

Other Custodial Care Facility providers in Arizona →

Registry record

NPI: 1134491210
Entity type: Organization
NPI issued: 3 Feb 2012
Record last updated: 3 Feb 2012

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.