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Ms. Kimm Gloria Hanson
Child Mental Illness Respite Care in Yuma, Arizona
NPI 1730242769

Kimm Gloria Hanson is a Child Mental Illness Respite Care based in Yuma, AZ and is specialized in Respite Care, Mental Illness, Child. Kimm Gloria Hanson practices in Yuma, AZ. The NPI Number for Kimm Gloria Hanson is 1730242769 and holds a License No. 11133 (Arizona).

The current practice location address for Kimm Gloria Hanson is 2490 W Yowell Ct Unit 49, Yuma, AZ and can be reached out via phone at 928-539-9298.

Location: 2490 W Yowell Ct Unit 49, Yuma, AZ, 85364-1735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730242769
Provider Name
Kimm Gloria Hanson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2490 W Yowell Ct Unit 49, Yuma, AZ, 85364-1735
Phone Number
928-539-9298
Fax Number
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085948 05 AZ
institution
Provider Business Practice Location Address Details
Address
2490 W Yowell Ct Unit 49
City
Yuma
State
Arizona
Zip
85364-1735
Phone Number
928-539-9298
Fax Number
person
Provider Business Mailing Address Details
Address
2490 W Yowell Ct Unit 49
City
Yuma
State
Arizona
Zip
85364-1735
Phone Number
928-539-9298
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.
11133 (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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