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Individual

MRS. ROBYN CRUTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2735 N 126TH DR, AVONDALE, AZ 85392-5504
(800) 926-5787
(623) 455-3521
Mailing address
2735 N 126TH DR, AVONDALE, AZ 85392-5504
(800) 926-5787
(623) 455-3521

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
251J00000X
Nursing Care Agency
251S00000X
Community/Behavioral Health Agency
251T00000X
PACE Provider Organization
253Z00000X
In Home Supportive Care Agency
291U00000X
Clinical Medical Laboratory
302R00000X
Health Maintenance Organization
310400000X
Assisted Living Facility
385H00000X
Respite Care
385HR2050X
Respite Care Camp
Primary
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
12/30/2008
Last updated
12/30/2008
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