Organization
TYLERS PLACE AZ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANASAGASTI (CEO)
(602) 309-1600
Entity
Organization
Contact information
Practice address
1823 E QUEEN CREEK RD STE 4, CHANDLER, AZ 85286-2018
(480) 794-9984
Mailing address
2450 S GILBERT RD STE 211, CHANDLER, AZ 85286-1595
(480) 794-9984
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477219210
THERAPIST
AZ
01
—
1588904379
THERAPIST
AZ
Enumeration date
04/19/2022
Last updated
04/19/2022
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