Individual
MICHAEL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10462 E ABILENE AVE, MESA, AZ 85208-8717
(602) 527-7179
(148) 045-2192
Mailing address
10462 E ABILENE AVE, MESA, AZ 85208-8717
(602) 527-7179
(148) 045-2192
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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