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Noel I Vandyke
Child Mental Illness Respite Care in Queen Creek, Arizona
NPI 1073748463

Noel I Vandyke is a Child Mental Illness Respite Care based in Queen Creek, AZ and is specialized in Respite Care, Mental Illness, Child. Noel I Vandyke practices in Queen Creek, AZ. The NPI Number for Noel I Vandyke is 1073748463 and holds a License No. 1349601 (Arizona).

The current practice location address for Noel I Vandyke is 3542 E Amarillo Way, Queen Creek, AZ and can be reached out via phone at 480-888-9413.

Location: 3542 E Amarillo Way, Queen Creek, AZ, 85240-4320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073748463
Provider Name
Noel I Vandyke
Credential
Provider Entity Type
Individual
Gender
Female
Address
3542 E Amarillo Way, Queen Creek, AZ, 85240-4320
Phone Number
480-888-9413
Fax Number
Provider Enumeration Date
05/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3542 E Amarillo Way
City
Queen Creek
State
Arizona
Zip
85240-4320
Phone Number
480-888-9413
Fax Number
person
Provider Business Mailing Address Details
Address
3542 E Amarillo Way
City
Queen Creek
State
Arizona
Zip
85240-4320
Phone Number
480-888-9413
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
1349601 (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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