Organization Name: | FSL PROGRAMS |
NPI Number: | 1265597231 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNETTE INIGUEZ (EXECUTIVE ASSISTANT) |
Mailing Address: | 3118 N 7th Ave Phoenix |
State: | AZ US |
Postal Code: | 850134107 |
Phone Number: | 6022309946 |
Fax Number: | 6022795422 |
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-036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |