person
Mr. James Knoble Moore JR., BA
Foster Care Agency in Tucson, Arizona
NPI 1629165097

James Knoble Moore JR. is a Foster Care Agency based in Tucson, AZ. James Knoble Moore JR. practices in Tucson, AZ and has the professional credentials of BA. The NPI Number for James Knoble Moore JR. is 1629165097 and holds a License No. 4698 (Arizona).

The current practice location address for James Knoble Moore JR. is 10247 E Covington St, Tucson, AZ and can be reached out via phone at 520-290-9055 and via fax at 520-748-1458. You can also correspond with James Knoble Moore JR. through the mailing address at 1161 N EL DORADO PL STE 103, TUCSON, AZ - 85715-4607 (mailing address contact number: 520-748-7108).

Location: 10247 E Covington St, Tucson, AZ, 85715-4607
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Provider Profile Details
NPI Number
1629165097
Provider Name
James Knoble Moore JR.
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
10247 E Covington St, Tucson, AZ, 85715-4607
Phone Number
520-290-9055
Fax Number
520-748-1458
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
754871 05 AZ
institution
Provider Business Practice Location Address Details
Address
10247 E Covington St
City
State
Zip
85748-2146
Phone Number
520-290-9055
Fax Number
520-748-1458
person
Provider Business Mailing Address Details
Address
1161 N El Dorado Pl Ste 103
City
State
Zip
85715-4607
Phone Number
520-748-7108
Fax Number
520-748-1458
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
License No.
4698 (Arizona)
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
4698 (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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