Organization
INSPIRE GROUP OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CLARK (CEO)
(480) 203-6574
Entity
Organization
Contact information
Practice address
1090 N FIESTA BLVD STE 101, GILBERT, AZ 85233-2281
(480) 203-6574
Mailing address
2890 E BONANZA CT, GILBERT, AZ 85297-7602
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
0TC6886
AZ
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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