Doctor Name: | SAVANNAH BARR |
NPI Number: | 1598162570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AL9316H |
Business Practice Address: | 13074 E Lima St Dewey, AZ - 863277209 |
Business Phone Number: | 9282278051 |
Business Fax Number: | 9287590050 |
Mailing Address: | 13074 E Lima St, DEWEY |
State: | AZ |
Postal Code: | 86327 |
Phone Number: | 9282278051 |
Fax Number: | 9287590050 |
NPI Enumeration Date: | 11/19/2014 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL9316H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |