Whalio Doctors

NPI 1770195612

Ctb Az, LLC

Organisation Adult Care Home Facility Tempe, AZ

Practice location

Address
2075 S Cottonwood Dr, Tempe, AZ 85282-3040
Phone
(602) 318-2041
Mailing address
2401 W Southern Ave Lot 462, Tempe, AZ 85282-4342

Authorised official

Name
Kelly Masengale
Title
Owner
Phone
(602) 318-2041

Registered specialties (8)

Adult Care Home Facility Primary
Nursing & Custodial Care Facilities Taxonomy 311ZA0620X
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X
Day Training/Habilitation Specialist
Nursing Service Related Providers Taxonomy 373H00000X
Child Intellectual and/or Developmental Disabilities Respite Care
Respite Care Facility Taxonomy 385HR2060X

Registry record

NPI
1770195612
Entity type
Organization
NPI issued
21 Aug 2020
Record last updated
21 Aug 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.