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Ms. Annetta Hardin
Child Mental Illness Respite Care in Glendale, Arizona
NPI 1699841379

Annetta Hardin is a Child Mental Illness Respite Care based in Glendale, AZ and is specialized in Respite Care, Mental Illness, Child. Annetta Hardin practices in Glendale, AZ. The NPI Number for Annetta Hardin is 1699841379 and holds a License No. 11688 (Arizona).

The current practice location address for Annetta Hardin is 4615 W Lawrence Ln, Glendale, AZ and can be reached out via phone at 623-334-5203.

Location: 4615 W Lawrence Ln, Glendale, AZ, 85302-5229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699841379
Provider Name
Annetta Hardin
Credential
Provider Entity Type
Individual
Gender
Female
Address
4615 W Lawrence Ln, Glendale, AZ, 85302-5229
Phone Number
623-334-5203
Fax Number
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
132419 01 AZ AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
4615 W Lawrence Ln
City
Glendale
State
Arizona
Zip
85302-5229
Phone Number
623-334-5203
Fax Number
person
Provider Business Mailing Address Details
Address
4615 W Lawrence Ln
City
Glendale
State
Arizona
Zip
85302-5229
Phone Number
623-334-5203
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.
11688 (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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