Susan Marita is a Respite Care based in Mesa, AZ. Susan Marita practices in Mesa, AZ. The NPI Number for Susan Marita is 1376090761 and holds a License No. BH4950 (Arizona).
The current practice location address for Susan Marita is 7335 E June St, Mesa, AZ and can be reached out via phone at 602-427-8235.
Location: 7335 E June St, Mesa, AZ, 85207-2959
Provider Profile Details
NPI Number
1376090761
Provider Name
Susan Marita
Credential
Provider Entity Type
Individual
Gender
Female
Address
7335 E June St, Mesa, AZ, 85207-2959
Phone Number
602-427-8235
Fax Number
Provider Enumeration Date
09/02/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH4950 | 01 | AZ | AZ DHS LICENSE |
Provider Business Practice Location Address Details
Address
7335 E June St
City
State
Zip
85207-2959
Phone Number
602-427-8235
Fax Number
Provider Business Mailing Address Details
Address
7335 E June St
City
State
Zip
85207-2959
Phone Number
602-427-8235
Fax Number
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
BH4950 (Arizona)
Definition
Definition to come.
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