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Missouri Ford
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1720378532

Missouri Ford is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Missouri Ford practices in Phoenix, AZ. The NPI Number for Missouri Ford is 1720378532 and holds a License No. 2477902 (Arizona).

The current practice location address for Missouri Ford is 1735 W Missouri Ave, Phoenix, AZ and can be reached out via phone at 602-643-6577. You can also correspond with Missouri Ford through the mailing address at 1735 W MISSOURI AVE, PHOENIX, AZ - 85015-2605 (mailing address contact number: 602-643-6577).

Location: 1735 W Missouri Ave, Phoenix, AZ, 85015-2605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720378532
Provider Name
Missouri Ford
Credential
Provider Entity Type
Individual
Gender
Female
Address
1735 W Missouri Ave, Phoenix, AZ, 85015-2605
Phone Number
602-643-6577
Fax Number
Provider Enumeration Date
04/13/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1735 W Missouri Ave
City
Phoenix
State
Arizona
Zip
85015-2605
Phone Number
602-643-6577
Fax Number
person
Provider Business Mailing Address Details
Address
1735 W Missouri Ave
City
Phoenix
State
Arizona
Zip
85015-2605
Phone Number
602-643-6577
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.
2477902 (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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