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Thad Malik
Foster Care Agency in Prescott, Arizona
NPI 1982177689

Thad Malik is a Foster Care Agency based in Prescott, AZ. Thad Malik practices in Prescott, AZ. The NPI Number for Thad Malik is 1982177689 and holds a License No. 9685638 (Arizona).

The current practice location address for Thad Malik is 1708 Sequoia Dr, Prescott, AZ and can be reached out via phone at 248-825-5715. You can also correspond with Thad Malik through the mailing address at 1708 SEQUOIA DR, PRESCOTT, AZ - 86301-1243 (mailing address contact number: 248-825-5715).

Location: 1708 Sequoia Dr, Prescott, AZ, 86301-1243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982177689
Provider Name
Thad Malik
Credential
Provider Entity Type
Individual
Gender
Male
Address
1708 Sequoia Dr, Prescott, AZ, 86301-1243
Phone Number
248-825-5715
Fax Number
Provider Enumeration Date
01/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1708 Sequoia Dr
City
Prescott
State
Arizona
Zip
86301-1243
Phone Number
248-825-5715
Fax Number
person
Provider Business Mailing Address Details
Address
1708 Sequoia Dr
City
Prescott
State
Arizona
Zip
86301-1243
Phone Number
248-825-5715
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
253J00000X
License No.
9685638 (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.
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