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Organization

OAK STREET

Active
Parent organization
VO OF ARIZONA
Organization subpart
Yes

Provider details

NPI number
Legal business name
VO OF ARIZONA
Authorized official
ANGELO EDGE (CAO)
(602) 914-5859
Entity
Organization

Contact information

Practice address
2255 N 44TH ST STE 240, PHOENIX, AZ 85008-7233
(602) 914-5859
Mailing address
2255 N 44TH ST STE 240, PHOENIX, AZ 85008-7233

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
BH-1903
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
805418
AZ
Enumeration date
04/16/2008
Last updated
04/16/2008
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