Organization
FOUR DIRECTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMUALDO R MUNOZ (PROGRAM ADMINISTRATOR)
(480) 699-2344
Entity
Organization
Contact information
Practice address
8149 E POSADA AVE, MESA, AZ 85212-1667
(480) 699-2344
(480) 699-3035
Mailing address
PO BOX 10908, SCOTTSDALE, AZ 85271-0908
(480) 699-2344
(480) 699-3035
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
CSA08ADHS01982
AZ
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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