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Joretta Mccoy
Child Mental Illness Respite Care in Amado, Arizona
NPI 1508961657

Joretta Mccoy is a Child Mental Illness Respite Care based in Amado, AZ and is specialized in Respite Care, Mental Illness, Child. Joretta Mccoy practices in Amado, AZ. The NPI Number for Joretta Mccoy is 1508961657 and holds a License No. 10964 (Arizona).

The current practice location address for Joretta Mccoy is 26855 S Coopers Hawk Rd, Amado, AZ and can be reached out via phone at 520-398-3311. You can also correspond with Joretta Mccoy through the mailing address at 26855 S COOPERS HAWK RD, AMADO, AZ - 85645-9571 (mailing address contact number: 520-398-3311).

Location: 26855 S Coopers Hawk Rd, Amado, AZ, 85645-9571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508961657
Provider Name
Joretta Mccoy
Credential
Provider Entity Type
Organization
Address
26855 S Coopers Hawk Rd, Amado, AZ, 85645-9571
Phone Number
520-398-3311
Fax Number
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041438 05 AZ
institution
Provider Business Practice Location Address Details
Address
26855 S Coopers Hawk Rd
City
Amado
State
Arizona
Zip
85645-9571
Phone Number
520-398-3311
Fax Number
person
Provider Business Mailing Address Details
Address
26855 S Coopers Hawk Rd
City
Amado
State
Arizona
Zip
85645-9571
Phone Number
520-398-3311
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.
10964 (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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