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Organization
RESILIENCY PROVIDER SERVICES
Active
Organization
RESILIENCY PROVIDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE EKANEM (EXECUTIVE DIRECTOR)
(520) 483-3439
Entity
Organization
Contact information
Practice address
12312 W DELWOOD DR, ARIZONA CITY, AZ 85223-5577
(520) 483-3439
(520) 437-0188
Mailing address
12312 W DELWOOD DR, PO BOX 3699, ARIZONA CITY, AZ 85223-5577
(520) 483-3439
(520) 437-0188
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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