Organization
DYSART UNIFIED SCHOOL DISTRICT #89
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER LORI ROBINS LPN (HEALTH TECHNICIAN LPN)
(623) 876-7000
Entity
Organization
Contact information
Practice address
15042 W SWEETWATER AVE, SURPRISE, AZ 85379-8164
(623) 876-7000
Mailing address
15042 W SWEETWATER AVE, SURPRISE, AZ 85379-8164
(623) 876-7000
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
LP049018
AZ
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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