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Mrs. Shawnee Marie Ross
Child Mental Illness Respite Care in Morristown, Arizona
NPI 1689747271

Shawnee Marie Ross is a Child Mental Illness Respite Care based in Morristown, AZ and is specialized in Respite Care, Mental Illness, Child. Shawnee Marie Ross practices in Morristown, AZ. The NPI Number for Shawnee Marie Ross is 1689747271 and holds a License No. 10949 (Arizona).

The current practice location address for Shawnee Marie Ross is 25112 W Saddle Mountain Rd, Morristown, AZ and can be reached out via phone at 623-388-9865.

Location: 25112 W Saddle Mountain Rd, Morristown, AZ, 85342-9068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689747271
Provider Name
Shawnee Marie Ross
Credential
Provider Entity Type
Individual
Gender
Female
Address
25112 W Saddle Mountain Rd, Morristown, AZ, 85342-9068
Phone Number
623-388-9865
Fax Number
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
048441 05 AZ
institution
Provider Business Practice Location Address Details
Address
25112 W Saddle Mountain Rd
City
Morristown
State
Arizona
Zip
85342-9068
Phone Number
623-388-9865
Fax Number
person
Provider Business Mailing Address Details
Address
25112 W Saddle Mountain Rd
City
Morristown
State
Arizona
Zip
85342-9068
Phone Number
623-388-9865
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.
10949 (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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