| Organization Name: | FOUR DIRECTIONS LLC |
| NPI Number: | 1861658700 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROMUALDO R MUNOZ (PROGRAM ADMINISTRATOR) |
| Mailing Address: | 8149 E Posada Ave Mesa |
| State: | AZ US |
| Postal Code: | 852121667 |
| Phone Number: | 4806992344 |
| Fax Number: | 4806993035 |
| NPI Enumeration Date: | 07/30/2008 |
| NPI Last Update Date: | 07/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | CSA08ADHS01982 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |