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Rebecca Siddiqui
Adult Care Home Facility in Phoenix, Arizona
NPI 1346645702

Rebecca Siddiqui is an Adult Care Home Facility based in Glendale, AZ and is specialized in Adult Care Home. Rebecca Siddiqui practices in Phoenix, AZ. The NPI Number for Rebecca Siddiqui is 1346645702 and holds a License No. AL8880H (Arizona).

The current practice location address for Rebecca Siddiqui is 4113 W Hayward Ave, Phoenix, AZ and can be reached out via phone at 623-336-7568 and via fax at 623-399-8915.

Location: 4113 W Hayward Ave, Phoenix, AZ, 85308-5837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346645702
Provider Name
Rebecca Siddiqui
Credential
Provider Entity Type
Individual
Gender
Female
Address
4113 W Hayward Ave, Phoenix, AZ, 85308-5837
Phone Number
623-336-7568
Fax Number
623-399-8915
Provider Enumeration Date
10/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
926240 05 AZ
institution
Provider Business Practice Location Address Details
Address
4113 W Hayward Ave
City
Phoenix
State
Arizona
Zip
85051-5751
Phone Number
623-336-7568
Fax Number
623-399-8915
person
Provider Business Mailing Address Details
Address
4113 W Hayward Ave
City
Phoenix
State
Arizona
Zip
85051-5751
Phone Number
623-336-7568
Fax Number
623-399-8915
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AL8880H (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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