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Louis Bedoya
Child Mental Illness Respite Care in Red Rock, Arizona
NPI 1912469453

Louis Bedoya is a Child Mental Illness Respite Care based in Red Rock, AZ and is specialized in Respite Care, Mental Illness, Child. Louis Bedoya practices in Red Rock, AZ. The NPI Number for Louis Bedoya is 1912469453 and holds a License No. 7173970 (Arizona).

The current practice location address for Louis Bedoya is 33727 S Colony Dr, Red Rock, AZ and can be reached out via phone at 520-404-2232.

Location: 33727 S Colony Dr, Red Rock, AZ, 85145-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912469453
Provider Name
Louis Bedoya
Credential
Provider Entity Type
Individual
Gender
Male
Address
33727 S Colony Dr, Red Rock, AZ, 85145-5044
Phone Number
520-404-2232
Fax Number
Provider Enumeration Date
04/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7173970 01 AZ AZ DEPT OF HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
33727 S Colony Dr
City
Red Rock
State
Arizona
Zip
85145-5044
Phone Number
520-404-2232
Fax Number
person
Provider Business Mailing Address Details
Address
33727 S Colony Dr
City
Red Rock
State
Arizona
Zip
85145-5044
Phone Number
520-404-2232
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.
7173970 (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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