Organization
EASTER SEALS BLAKE FOUNDATION
Active
Other names
Blake Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA S ARENDT (CFO)
(520) 327-1529
Entity
Organization
Contact information
Practice address
7756 E BROADWAY BLVD STE C100, TUCSON, AZ 85710-4022
(520) 327-1529
(520) 514-9878
Mailing address
7756 E BROADWAY BLVD STE A100, TUCSON, AZ 85710-4022
(520) 449-8555
(520) 204-6808
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
885160
AHCCCS PROVIDER
AZ
05
—
885160
—
AZ
01
—
OTC-6111
AZ DEPT OF HEALTH SERVICES LICENSE
AZ
Enumeration date
12/04/2013
Last updated
02/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us