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Dennis Tolliver
Child Mental Illness Respite Care in Laveen, Arizona
NPI 1760559132

Dennis Tolliver is a Child Mental Illness Respite Care based in Laveen, AZ and is specialized in Respite Care, Mental Illness, Child. Dennis Tolliver practices in Laveen, AZ. The NPI Number for Dennis Tolliver is 1760559132 and holds a License No. 3936 (Arizona).

The current practice location address for Dennis Tolliver is 6821 W Maldonado Rd, Laveen, AZ and can be reached out via phone at 602-682-7584.

Location: 6821 W Maldonado Rd, Laveen, AZ, 85339-2679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760559132
Provider Name
Dennis Tolliver
Credential
Provider Entity Type
Individual
Gender
Male
Address
6821 W Maldonado Rd, Laveen, AZ, 85339-2679
Phone Number
602-682-7584
Fax Number
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
717697 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
6821 W Maldonado Rd
City
Laveen
State
Arizona
Zip
85339-2679
Phone Number
602-682-7584
Fax Number
person
Provider Business Mailing Address Details
Address
6821 W Maldonado Rd
City
Laveen
State
Arizona
Zip
85339-2679
Phone Number
602-682-7584
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.
3936 (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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