Organization
CENTRAL AZ SPECIAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA COLLEEN JOHNSTON (CEO)
(602) 253-9588
Entity
Organization
Contact information
Practice address
2050 E UNIVERSITY DR, SUITE 3, PHOENIX, AZ 85034-6700
(602) 253-9588
(602) 258-0207
Mailing address
2050 E UNIVERSITY DR, SUITE 3, PHOENIX, AZ 85034-6700
(602) 253-9588
(602) 258-0207
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
042416
AZ
251E00000X
Home Health Agency
042416
AZ
253Z00000X
In Home Supportive Care Agency
042416
AZ
385H00000X
Respite Care
042416
AZ
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
042416
AZ
385HR2065X
Child Physical Disabilities Respite Care
042416
AZ
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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