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Mr. Alphonso Taylor
Child Mental Illness Respite Care in Laveen, Arizona
NPI 1487721049

Alphonso Taylor is a Child Mental Illness Respite Care based in Laveen, AZ and is specialized in Respite Care, Mental Illness, Child. Alphonso Taylor practices in Laveen, AZ. The NPI Number for Alphonso Taylor is 1487721049 and holds a License No. 10046 (Arizona).

The current practice location address for Alphonso Taylor is 8528 S 49Th Ln, Laveen, AZ and can be reached out via phone at 480-593-2018.

Location: 8528 S 49Th Ln, Laveen, AZ, 85339-7030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487721049
Provider Name
Alphonso Taylor
Credential
Provider Entity Type
Individual
Gender
Male
Address
8528 S 49Th Ln, Laveen, AZ, 85339-7030
Phone Number
480-593-2018
Fax Number
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
985484 01 AZ AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
8528 S 49Th Ln
City
Laveen
State
Arizona
Zip
85339-2161
Phone Number
480-593-2018
Fax Number
person
Provider Business Mailing Address Details
Address
8528 S 49Th Ln
City
Laveen
State
Arizona
Zip
85339-2161
Phone Number
480-593-2018
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.
10046 (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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