Chantal Madiata is a Contractor based in Tucson, AZ. Chantal Madiata practices in Tucson, AZ. The NPI Number for Chantal Madiata is 1679954549 and holds a License No. BH5270 (Arizona).
The current practice location address for Chantal Madiata is 3641 W Bellewood Pl, Tucson, AZ and can be reached out via phone at 520-351-9952.
Location: 3641 W Bellewood Pl, Tucson, AZ, 85748-6608
Provider Profile Details
NPI Number
1679954549
Provider Name
Chantal Madiata
Credential
Provider Entity Type
Individual
Gender
Female
Address
3641 W Bellewood Pl, Tucson, AZ, 85748-6608
Phone Number
520-351-9952
Fax Number
Provider Enumeration Date
06/16/2015
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH5270 | 01 | AZ | AZ DEPT OF HEALTH SERVICES |
Provider Business Practice Location Address Details
Address
3641 W Bellewood Pl
City
State
Zip
85741-5407
Phone Number
520-351-9952
Fax Number
Provider Business Mailing Address Details
Address
3641 W Bellewood Pl
City
State
Zip
85741-5407
Phone Number
520-351-9952
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
BH4643 (Arizona)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
BH5270 (Arizona)
Definition
Definition to come.
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