Organization
ARIZONA CHILDRENS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH COMPTON SR. (EMPLOYEE)
(480) 276-9161
Entity
Organization
Contact information
Practice address
1214 W ERIE ST, CHANDLER, AZ 85224-4317
(480) 276-9161
Mailing address
1900 W CHANDLER BLVD STE 15-333, CHANDLER, AZ 85224-6216
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
BH5340
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH5340
—
AZ
Enumeration date
05/01/2018
Last updated
05/01/2018
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