Organization
PARKER COMMUNITY SENIOR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA K TILLEY (DIRECTOR)
(928) 669-9514
Entity
Organization
Contact information
Practice address
1115 W 12TH ST, PARKER, AZ 85344-5711
(928) 669-9514
(928) 669-0179
Mailing address
1115 W 12TH ST, PARKER, AZ 85344-5711
(928) 669-9514
(928) 669-0179
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
952590
NUTRITION CENTER
AZ
Enumeration date
10/28/2020
Last updated
10/28/2020
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