institution
Arizona Training Program At Coolidge
Intellectual Disabilities Intermediate Care Facility in Coolidge, Arizona
NPI 1194979542

Arizona Training Program At Coolidge is a Intellectual Disabilities Intermediate Care Facility based in Phoenix, AZ. Arizona Training Program At Coolidge practices in Coolidge, AZ. The NPI Number for Arizona Training Program At Coolidge is 1194979542 and holds a License No. (Arizona).

The current practice location address for Arizona Training Program At Coolidge is 2800 N. Highway 87, Coolidge, AZ and can be reached out via phone at 520-723-4151. You can also correspond with Arizona Training Program At Coolidge through the mailing address at 1789 W. JEFFERSON STREET, PHOENIX, AZ - 85005 (mailing address contact number: 602-542-6857).

Location: 2800 N. Highway 87, Coolidge, AZ, 85005
institution
Provider Profile Details
NPI Number
1194979542
Provider Name
Arizona Training Program At Coolidge
Credential
Provider Entity Type
Organization
Address
2800 N. Highway 87, Coolidge, AZ, 85005
Phone Number
520-723-4151
Fax Number
Provider Enumeration Date
11/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
040048 05 AZ
institution
Provider Business Practice Location Address Details
Address
2800 N. Highway 87
City
State
Zip
85228
Phone Number
520-723-4151
Fax Number
person
Provider Business Mailing Address Details
Address
2800 N. Highway 87
City
State
Zip
85228
Phone Number
520-723-4151
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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