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Steven Illers
Foster Care Agency in Kingman, Arizona
NPI 1780127241

Steven Illers is a Foster Care Agency based in Kingman, AZ. Steven Illers practices in Kingman, AZ. The NPI Number for Steven Illers is 1780127241 and holds a License No. 8122828 (Arizona).

The current practice location address for Steven Illers is 3854 Heather Ave, Kingman, AZ and can be reached out via phone at 702-219-0881 and via fax at 928-774-2159. You can also correspond with Steven Illers through the mailing address at 3854 HEATHER AVE, KINGMAN, AZ - 86401-3844 (mailing address contact number: 805-868-7581).

Location: 3854 Heather Ave, Kingman, AZ, 86401-3844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780127241
Provider Name
Steven Illers
Credential
Provider Entity Type
Individual
Gender
Male
Address
3854 Heather Ave, Kingman, AZ, 86401-3844
Phone Number
702-219-0881
Fax Number
928-774-2159
Provider Enumeration Date
11/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3854 Heather Ave
City
Kingman
State
Arizona
Zip
86401-3844
Phone Number
702-219-0881
Fax Number
928-774-2159
person
Provider Business Mailing Address Details
Address
3854 Heather Ave
City
Kingman
State
Arizona
Zip
86401-3844
Phone Number
702-219-0881
Fax Number
928-774-2159
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
253J00000X
License No.
8122828 (Arizona)
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
8122828 (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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