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William Shane Fisher
Adult Care Home Facility in Flagstaff, Arizona
NPI 1295138568

William Shane Fisher is an Adult Care Home Facility based in Flagstaff, AZ and is specialized in Adult Care Home. William Shane Fisher practices in Flagstaff, AZ. The NPI Number for William Shane Fisher is 1295138568 and holds a License No. AL8133H (Arizona).

The current practice location address for William Shane Fisher is 6005 E Abineau Canyon Dr, Flagstaff, AZ and can be reached out via phone at 928-635-6750.

Location: 6005 E Abineau Canyon Dr, Flagstaff, AZ, 86003-0354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295138568
Provider Name
William Shane Fisher
Credential
Provider Entity Type
Individual
Gender
Male
Address
6005 E Abineau Canyon Dr, Flagstaff, AZ, 86003-0354
Phone Number
928-635-6750
Fax Number
Provider Enumeration Date
10/01/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
283460 05 AZ
institution
Provider Business Practice Location Address Details
Address
6005 E Abineau Canyon Dr
City
Flagstaff
State
Arizona
Zip
86004-7168
Phone Number
928-635-6750
Fax Number
person
Provider Business Mailing Address Details
Address
6005 E Abineau Canyon Dr
City
Flagstaff
State
Arizona
Zip
86004-7168
Phone Number
928-635-6750
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AL8133H (Arizona)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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