Organization
HUSHABYE NURSERY
Active
Parent organization
HUSHABYE NURSERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUSHABYE NURSERY
Authorized official
MRS. TARA SUE SUNDEM RN NNP-BC MSN (EXECUTIVE DIRECTOR)
(480) 628-7500
Entity
Organization
Contact information
Practice address
3003 E MCDOWELL RD, PHOENIX, AZ 85008-3620
(480) 628-7500
Mailing address
2473 S HIGLEY RD STE 104, GILBERT, AZ 85295-1103
(480) 628-7500
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
04/01/2020
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