Organization
OSCEOLA BOWLIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY JEAN PRICE (OWNER/CEO)
(480) 444-6449
Entity
Organization
Contact information
Practice address
2144 E INDIAN WELLS DR, CHANDLER, AZ 85249-4865
(480) 444-6449
Mailing address
2144 E INDIAN WELLS DR, CHANDLER, AZ 85249-4865
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH2937
AZ
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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