ENDEAVOR HCBS LLC NPI 1255090593

NPI Information

ENDEAVOR HCBS LLC is a respite care and mental retardation and/or developmental disabilities respite care in Mesa, AZ. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. ENDEAVOR HCBS LLC NPI is 1255090593. The provider is registered as an organization entity type.

The provider's business location address is:

4858 E BASELINE RD STE 101
MESA, AZ
ZIP 85206-638
Phone: (480) 933-6069
Fax: (480) 494-5466

The provider's authorized official is Terisa Rose Gideon .
The authorized official title is Hcbs Manager and has the following contact phone number (480) 933-6069.

The enumeration date for this NPI number is 12/14/2021 and was last updated on 12/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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