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Organization

ARIZONA TRAINING PROGRAM - WINDSOR

Active
Parent organization
STATE OF ARIZONA
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF ARIZONA
Authorized official
ZANE GARCIA RAMADAN (ASSISTANT DIRECTOR)
(480) 490-6538
Entity
Organization

Contact information

Practice address
1750 E WINDSOR, PHOENIX, AZ 85006
(602) 230-8197
Mailing address
1789 W JEFFERSON, PHOENIX, AZ 85005
(602) 542-6857
(602) 364-1322

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
040022
AZ
Enumeration date
07/22/2008
Last updated
07/03/2024
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