Individual
CAROLINE SIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1241 W PINKLEY AVE, COOLIDGE, AZ 85228-9037
(520) 233-6355
Mailing address
1241 W PINKLEY AVE, COOLIDGE, AZ 85228-9037
(520) 233-6355
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
9173
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
907389
AHCCCS ID NUMBER
AZ
Enumeration date
11/22/2006
Last updated
03/25/2009
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