Individual
NELIA BURZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8249 W CROCUS DR, PEORIA, AZ 85381-4648
(623) 487-3962
(623) 266-2746
Mailing address
8249 W CROCUS DR, PEORIA, AZ 85381-4648
(623) 487-3962
(623) 266-2746
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AL5807H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094449
STATE OF ARIZONA ASSISTED LIVING HOME CARE PROVIDER #
AZ
Enumeration date
11/17/2016
Last updated
11/17/2016
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