Organization
STREAMS IN THE DESERT MINISTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA E SMITH (MANAGER)
(480) 897-1907
Entity
Organization
Contact information
Practice address
5612 S HEATHER DR, TEMPE, AZ 85283-2214
(480) 897-1907
(480) 897-1287
Mailing address
5612 S HEATHER DR, TEMPE, AZ 85283-2214
(480) 897-1907
(480) 897-1287
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ALH-1165
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
556871
AHCCCS
AZ
Enumeration date
06/04/2007
Last updated
08/22/2020
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