MISS GWEN ELLEN MADDIX NPI 1073680195

NPI Information

NPI: 1073680195
Provider Name: MISS GWEN ELLEN MADDIX
Classification: Respite Care - 385HR2055X
Entity Type: Individual

Specialization: Respite Care, Mental Illness, Child

Address:
3436 W MALAPAI
PHX, AZ
ZIP 85051
Phone: (602) 570-5742
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MISS Gwen Ellen Maddix is a respite care and mental illness and child respite care in Phx, AZ. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. MISS Gwen Ellen Maddix NPI is 1073680195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3436 W MALAPAI
PHX, AZ
ZIP 85051
Phone: (602) 570-5742

The enumeration date for this NPI number is 11/30/2006 and was last updated on 2/3/2011.

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	385HR2055X	Respite Care	Respite Care, Mental Illness, Child			Yes

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: 11/14/2023

NPI Synchronization or Removal

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