Organization
UPWARD FOR CHILDREN AND FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELANA L MASTOV RN (SCHOOL NURSE)
(602) 279-5801
Entity
Organization
Contact information
Practice address
6306 N 7TH ST, PHOENIX, AZ 85014-1549
(602) 279-5801
(602) 279-0033
Mailing address
6306 N 7TH ST, PHOENIX, AZ 85014-1549
(602) 279-5801
(602) 279-0033
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
189944
AZ
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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