| Organization Name: | FSL PROGRAMS |
| NPI Number: | 1033274030 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNETTE INIGUEZ (EXEC ASST) |
| Mailing Address: | 6520 S Central Ave Phoenix |
| State: | AZ US |
| Postal Code: | 850424240 |
| Phone Number: | 6023040355 |
| Fax Number: | 6022764938 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | ADHC-039 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |