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Jessica Annette Dixon-tatum
Foster Care Agency in Buckeye, Arizona
NPI 1033757877

Jessica Annette Dixon-tatum is a Foster Care Agency based in Buckeye, AZ. Jessica Annette Dixon-tatum practices in Buckeye, AZ. The NPI Number for Jessica Annette Dixon-tatum is 1033757877 and holds a License No. 8900919 (Arizona).

The current practice location address for Jessica Annette Dixon-tatum is 401 N 6Th St, Buckeye, AZ and can be reached out via phone at 623-698-8210 and via fax at 602-455-4624.

Location: 401 N 6Th St, Buckeye, AZ, 85326-2415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033757877
Provider Name
Jessica Annette Dixon-tatum
Credential
Provider Entity Type
Individual
Gender
Female
Address
401 N 6Th St, Buckeye, AZ, 85326-2415
Phone Number
623-698-8210
Fax Number
602-455-4624
Provider Enumeration Date
12/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 N 6Th St
City
Buckeye
State
Arizona
Zip
85326-2415
Phone Number
623-698-8210
Fax Number
602-455-4624
person
Provider Business Mailing Address Details
Address
401 N 6Th St
City
Buckeye
State
Arizona
Zip
85326-2415
Phone Number
623-698-8210
Fax Number
602-455-4624
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
253J00000X
License No.
8900919 (Arizona)
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
8900919 (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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