| Organization Name: | FSL PROGRAMS |
| NPI Number: | 1578629481 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNETTE INIGUEZ (EXEC ASST) |
| Mailing Address: | 9555 W Van Buren St Tolleson |
| State: | AZ US |
| Postal Code: | 853532816 |
| Phone Number: | 6239321104 |
| Fax Number: | 6239231132 |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 07/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | ADHC-1919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |