Organization
UNION ELEMENTARY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L RYAN (DIRECTOR OF STUDENT SUPPORT SRVS)
(623) 478-5015
Entity
Organization
Contact information
Practice address
3834 S 91ST AVE, TOLLESON, AZ 85353
(623) 478-5005
(623) 478-5006
Mailing address
3834 S 91ST AVE, TOLLESON, AZ 85353
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
860107
AHCCCS ID
AZ
Enumeration date
03/26/2007
Last updated
04/22/2008
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