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Mr. Gary H Skaggs
Child Mental Illness Respite Care in Sierra Vista, Arizona
NPI 1487840021

Gary H Skaggs is a Child Mental Illness Respite Care based in Sierra Vista, AZ and is specialized in Respite Care, Mental Illness, Child. Gary H Skaggs practices in Sierra Vista, AZ. The NPI Number for Gary H Skaggs is 1487840021 and holds a License No. 5737 (Arizona).

The current practice location address for Gary H Skaggs is 5520 S Santa Aurelia Ave, Sierra Vista, AZ and can be reached out via phone at 520-803-7130.

Location: 5520 S Santa Aurelia Ave, Sierra Vista, AZ, 85650-9373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487840021
Provider Name
Gary H Skaggs
Credential
Provider Entity Type
Individual
Gender
Male
Address
5520 S Santa Aurelia Ave, Sierra Vista, AZ, 85650-9373
Phone Number
520-803-7130
Fax Number
Provider Enumeration Date
09/18/2007
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
660567 05 AZ
institution
Provider Business Practice Location Address Details
Address
5520 S Santa Aurelia Ave
City
Sierra Vista
State
Arizona
Zip
85650-9373
Phone Number
520-803-7130
Fax Number
person
Provider Business Mailing Address Details
Address
5520 S Santa Aurelia Ave
City
Sierra Vista
State
Arizona
Zip
85650-9373
Phone Number
520-803-7130
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.
5737 (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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