Individual
SHARON LANELLE FAUBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7760 S SIX SHOOTER CANYON RD, GLOBE, AZ 85501-4078
(928) 793-4603
Mailing address
PO BOX 1584, GLOBE, AZ 85502-1584
(928) 961-4828
(928) 793-4029
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8314H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
482790
ARIZONA LONG TERM CARE
AZ
01
—
546436
ARIZONA LONG TERM CARE
AZ
Enumeration date
02/21/2021
Last updated
02/21/2021
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