Organization
ADVANCED INDEPENDENCE
Active
Organization
ADVANCED INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA LYNNE MOODY (CEO/DIREDTOR)
(602) 439-7080
Entity
Organization
Contact information
Practice address
5313 W MURIEL DR, GLENDALE, AZ 85308-5356
(602) 439-7080
(602) 863-6385
Mailing address
4410 W UNION HILLS DR, SUITE 7, GLENDALE, AZ 85308-1660
(602) 439-7080
(602) 863-6385
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
AZ
251G00000X
Community Based Hospice Care Agency
—
AZ
252Y00000X
Early Intervention Provider Agency
—
AZ
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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