ARIZONA TRAINING PROGRAM - EARLL NPI 1306001052

NPI Information

NPI: 1306001052
Provider Name: ARIZONA TRAINING PROGRAM - EARLL
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
3043 N 37TH STREET
PHOENIX, AZ
ZIP 85018
Phone: (602) 224-9986
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ARIZONA TRAINING PROGRAM - EARLL is an intermediate care facility mentally retarded in Phoenix, AZ. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ARIZONA TRAINING PROGRAM - EARLL NPI is 1306001052. The provider is registered as an organization entity type.

The provider's business location address is:

3043 N 37TH STREET
PHOENIX, AZ
ZIP 85018
Phone: (602) 224-9986

The provider's authorized official is Barbara Brent .
The authorized official title is Assistant Director and has the following contact phone number (602) 542-6857.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 7/22/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	040030	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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