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Roslyn Moore
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1588731970

Roslyn Moore is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Roslyn Moore practices in Phoenix, AZ. The NPI Number for Roslyn Moore is 1588731970 and holds a License No. 8559 (Arizona).

The current practice location address for Roslyn Moore is 3132 W Alta Vista Rd, Phoenix, AZ and can be reached out via phone at 623-873-0204.

Location: 3132 W Alta Vista Rd, Phoenix, AZ, 85041-5209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588731970
Provider Name
Roslyn Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
3132 W Alta Vista Rd, Phoenix, AZ, 85041-5209
Phone Number
623-873-0204
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
917057 01 AZ AHCCCS ID
institution
Provider Business Practice Location Address Details
Address
3132 W Alta Vista Rd
City
Phoenix
State
Arizona
Zip
85041-5209
Phone Number
623-873-0204
Fax Number
person
Provider Business Mailing Address Details
Address
3132 W Alta Vista Rd
City
Phoenix
State
Arizona
Zip
85041-5209
Phone Number
623-873-0204
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.
8559 (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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