institution
St Johns Concho Senior Citizens Assoc
Voluntary or Charitable Agency in St Johns, Arizona
NPI 1093986499

St Johns Concho Senior Citizens Assoc is a Voluntary or Charitable Agency based in St Johns, AZ. St Johns Concho Senior Citizens Assoc practices in St Johns, AZ. The NPI Number for St Johns Concho Senior Citizens Assoc is 1093986499 and holds a License No. P0496 (Arizona).

The current practice location address for St Johns Concho Senior Citizens Assoc is 395 South First West St, St Johns, AZ and can be reached out via phone at 928-337-2144 and via fax at 928-337-2581.

Location: 395 South First West St, St Johns, AZ, 85936-0887
institution
Provider Profile Details
NPI Number
1093986499
Provider Name
St Johns Concho Senior Citizens Assoc
Credential
Provider Entity Type
Organization
Address
395 South First West St, St Johns, AZ, 85936-0887
Phone Number
928-337-2144
Fax Number
928-337-2581
Provider Enumeration Date
03/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
351560 01 AHCCCS
institution
Provider Business Practice Location Address Details
Address
395 South First West St
City
State
Zip
85936-0887
Phone Number
928-337-2144
Fax Number
928-337-2581
person
Provider Business Mailing Address Details
Address
395 South First West St
City
State
Zip
85936-0887
Phone Number
928-337-2144
Fax Number
928-337-2581
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
P0496 (Arizona)
Definition
Definition to come...
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