Organization
DAUGHTERS OF THUNDER LLC
Active
Other names
Daughters OF Thunder LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLY BLANTON-PIERCE (PRESIDENT)
(602) 486-7521
Entity
Organization
Contact information
Practice address
4609 S MILL AVE, TEMPE, AZ 85282-6720
(602) 486-7521
Mailing address
PO BOX 23714, 4609 S MILL, TEMPE, AZ 85285-3714
(602) 486-7521
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
527632908
AZ
251S00000X
Community/Behavioral Health Agency
527632908
AZ
305S00000X
Point of Service
527632908
AZ
343900000X
Non-emergency Medical Transport (VAN)
Primary
527632908
AZ
Other
Enumeration date
01/02/2010
Last updated
01/02/2010
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