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Gary Taylor
Child Mental Illness Respite Care in Hereford, Arizona
NPI 1104070226

Gary Taylor is a Child Mental Illness Respite Care based in Hereford, AZ and is specialized in Respite Care, Mental Illness, Child. Gary Taylor practices in Hereford, AZ. The NPI Number for Gary Taylor is 1104070226 and holds a License No. (Arizona).

The current practice location address for Gary Taylor is 9587 E Cactus Ranch Rd, Hereford, AZ and can be reached out via phone at 520-366-5262.

Location: 9587 E Cactus Ranch Rd, Hereford, AZ, 85615-8005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104070226
Provider Name
Gary Taylor
Credential
Provider Entity Type
Individual
Gender
Male
Address
9587 E Cactus Ranch Rd, Hereford, AZ, 85615-8005
Phone Number
520-366-5262
Fax Number
Provider Enumeration Date
11/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000000000 05 AZ
institution
Provider Business Practice Location Address Details
Address
9587 E Cactus Ranch Rd
City
Hereford
State
Arizona
Zip
85615-8005
Phone Number
520-366-5262
Fax Number
person
Provider Business Mailing Address Details
Address
9587 E Cactus Ranch Rd
City
Hereford
State
Arizona
Zip
85615-8005
Phone Number
520-366-5262
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.
(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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