Karen Land is a Respite Care based in Mesa, AZ. Karen Land practices in Mesa, AZ. The NPI Number for Karen Land is 1760950265 and holds a License No. BH5561 (Arizona).
The current practice location address for Karen Land is 4013 E Pueblo Ave, Mesa, AZ and can be reached out via phone at 480-694-9002.
Location: 4013 E Pueblo Ave, Mesa, AZ, 85206-5122
Provider Profile Details
NPI Number
1760950265
Provider Name
Karen Land
Credential
Provider Entity Type
Individual
Gender
Female
Address
4013 E Pueblo Ave, Mesa, AZ, 85206-5122
Phone Number
480-694-9002
Fax Number
Provider Enumeration Date
11/02/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH5561 | 01 | AZ | AZ DEPT OF HEALTH SERVICES |
Provider Business Practice Location Address Details
Address
4013 E Pueblo Ave
City
State
Zip
85206-5122
Phone Number
480-694-9002
Fax Number
Provider Business Mailing Address Details
Address
4013 E Pueblo Ave
City
State
Zip
85206-5122
Phone Number
480-694-9002
Fax Number
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
BH5561 (Arizona)
Definition
Definition to come.
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