Organization
FOUR DIRECTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMUALDO MUNOZ (PROGRAM ADMINISTRATOR)
(480) 332-9276
Entity
Organization
Contact information
Practice address
8142 E PLATA AVE, MESA, AZ 85212-1603
(480) 699-2344
Mailing address
PO BOX 10908, SCOTTSDALE, AZ 85271-0908
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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