Organization
SAGUARO FOUNDATION COMMUNITY LIVING PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VAN GUILDER (EXECUTIVE DIRECTOR)
(928) 783-6069
Entity
Organization
Contact information
Practice address
1495 S 4TH AVE, YUMA, AZ 85364-4603
(928) 783-6069
(928) 782-0061
Mailing address
1495 S 4TH AVE, P.O. BOX 5869, YUMA, AZ 85364-4603
(928) 783-6069
(928) 782-0061
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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