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Heather Larae Olmos
Child Mental Illness Respite Care in Sierra Vista, Arizona
NPI 1629220462

Heather Larae Olmos is a Child Mental Illness Respite Care based in Sierra Vista, AZ and is specialized in Respite Care, Mental Illness, Child. Heather Larae Olmos practices in Sierra Vista, AZ. The NPI Number for Heather Larae Olmos is 1629220462 and holds a License No. 11412 (Arizona).

The current practice location address for Heather Larae Olmos is 2733 Quail Run Dr, Sierra Vista, AZ and can be reached out via phone at 520-459-2371.

Location: 2733 Quail Run Dr, Sierra Vista, AZ, 85635-3448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629220462
Provider Name
Heather Larae Olmos
Credential
Provider Entity Type
Individual
Gender
Female
Address
2733 Quail Run Dr, Sierra Vista, AZ, 85635-3448
Phone Number
520-459-2371
Fax Number
Provider Enumeration Date
10/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000 05 AZ
institution
Provider Business Practice Location Address Details
Address
2733 Quail Run Dr
City
Sierra Vista
State
Arizona
Zip
85635-3448
Phone Number
520-459-2371
Fax Number
person
Provider Business Mailing Address Details
Address
2733 Quail Run Dr
City
Sierra Vista
State
Arizona
Zip
85635-3448
Phone Number
520-459-2371
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.
11412 (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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