Organization
ANNE KNOOP RESPITE SERVICE
Active
Parent organization
ANNE KNOOP
Other names
Anne Knoop
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE KNOOP
Authorized official
ANNE KNOOP (PRESIDENT)
(317) 902-0743
Entity
Organization
Contact information
Practice address
4831 E HAMPTON ST, TUCSON, AZ 85712-2725
(317) 902-0743
Mailing address
4831 E HAMPTON ST, TUCSON, AZ 85712-2725
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
BH5312
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5312
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
08/10/2018
Last updated
08/10/2018
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