Organization
PEORIA UNIFIED SCHOOL DISTRICT #11
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURI HAWLEY (MEDICAID SPECIALIST)
(623) 487-5189
Entity
Organization
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
AZ
Other
Enumeration date
04/04/2007
Last updated
07/21/2022
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