Organization
DELTA T
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN ELLEN MAURER (LPN)
(623) 999-4410
Entity
Organization
Contact information
Practice address
7500 N DREAMY DRAW DR, SUITE250, PHOENIX, AZ 85020-4660
(602) 870-5051
Mailing address
16485 N STADIUM WAY UNIT 3024, SURPRISE, AZ 85374-4391
(623) 999-4419
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
LP9666022
AZ
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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