person
Jamie Roshun Dawson
Contractor in Phoenix, Arizona
NPI 1023637345

Jamie Roshun Dawson is a Contractor based in Tuscon, AZ. Jamie Roshun Dawson practices in Phoenix, AZ. The NPI Number for Jamie Roshun Dawson is 1023637345 and holds a License No. 10125986 (Arizona).

The current practice location address for Jamie Roshun Dawson is 13229 S 48Th St Apt 3051, Phoenix, AZ and can be reached out via phone at 501-952-1976. You can also correspond with Jamie Roshun Dawson through the mailing address at INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC., TUSCON, AZ - 85754-6537 (mailing address contact number: ).

Location: 13229 S 48Th St Apt 3051, Phoenix, AZ, 85754-6537
person
Provider Profile Details
NPI Number
1023637345
Provider Name
Jamie Roshun Dawson
Credential
Provider Entity Type
Individual
Gender
Male
Address
13229 S 48Th St Apt 3051, Phoenix, AZ, 85754-6537
Phone Number
501-952-1976
Fax Number
Provider Enumeration Date
04/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10125986 01 AZ AZ DEPT OF HEALTH SERVICES
1023637345 01 AZ THERAPEUTIC FOSTER CARE
institution
Provider Business Practice Location Address Details
Address
13229 S 48Th St Apt 3051
City
State
Zip
85044
Phone Number
501-952-1976
Fax Number
person
Provider Business Mailing Address Details
Address
13229 S 48Th St Apt 3051
City
State
Zip
85044
Phone Number
501-952-1976
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
10125986 (Arizona)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
10125986 (Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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