Organization
NEXT LEVEL ADULT DEVELOPMENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PORCHEL DONTAE PATTERSON (DIRECTOR)
(602) 790-7817
Entity
Organization
Contact information
Practice address
2324 W CARSON RD, PHOENIX, AZ 85041-6408
(602) 790-7817
Mailing address
2324 W CARSON RD, PHOENIX, AZ 85041-6408
(602) 790-7817
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
04942
AZ
Other
Enumeration date
02/24/2010
Last updated
07/15/2010
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