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Devereux Foster Care
Child Mental Illness Respite Care in Glendale, Arizona
NPI 1578630018

Devereux Foster Care is a Child Mental Illness Respite Care based in Glendale, AZ and is specialized in Respite Care, Mental Illness, Child. Devereux Foster Care practices in Glendale, AZ. The NPI Number for Devereux Foster Care is 1578630018 and holds a License No. 11355 (Arizona).

The current practice location address for Devereux Foster Care is 5603 W Shangri La Rd, Glendale, AZ and can be reached out via phone at 623-979-1150.

Location: 5603 W Shangri La Rd, Glendale, AZ, 85304-3851
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578630018
Provider Name
Devereux Foster Care
Credential
Provider Entity Type
Organization
Address
5603 W Shangri La Rd, Glendale, AZ, 85304-3851
Phone Number
623-979-1150
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
116658 01 AZ AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
5603 W Shangri La Rd
City
Glendale
State
Arizona
Zip
85304-3851
Phone Number
623-979-1150
Fax Number
person
Provider Business Mailing Address Details
Address
5603 W Shangri La Rd
City
Glendale
State
Arizona
Zip
85304-3851
Phone Number
623-979-1150
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.
11355 (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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