NPI 1326310442

Marigold Enterprise

Organisation Point of Service Sierra Vista, AZ

Practice location

Address: 500 N Lenzner Ave B-9, Sierra Vista, AZ 85635-2167
Phone: (520) 236-7692
Mailing address: PO Box 910, Hereford, AZ 85615-0910

Authorised official

Name: Victoria L Harris
Title: Occupational Therapist
Phone: (520) 236-7692

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 0651 (AZ)

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Registry record

NPI: 1326310442
Entity type: Organization
NPI issued: 5 Feb 2012
Record last updated: 5 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.