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Organization

ARIZONA TRAINING PROGRAM @ COOLIDGE

Active
Other names
40 Sandstone Court
Organization subpart
No

Provider details

NPI number
Authorized official
ZANE GARCIA RAMADAN (ASSISTANT DIRECTOR)
(480) 490-6538
Entity
Organization

Contact information

Practice address
2800 N. HIGHWAY 87, COOLIDGE, AZ 85228
(520) 723-4151
Mailing address
2800 N HIGHWAY 87, COOLIDGE, AZ 85128-9460
(520) 723-2600

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041947
AZ
Enumeration date
11/12/2008
Last updated
07/03/2024
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