SEQUELCARE OF ARIZONA NPI 1083115364

NPI Information

NPI: 1083115364
Provider Name: SEQUELCARE OF ARIZONA
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
8800 MARYS DRIVE
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 526-0997
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SEQUELCARE OF ARIZONA is a community based residential treatment facility mental illness in Flagstaff, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SEQUELCARE OF ARIZONA NPI is 1083115364. The provider is registered as an organization entity type.

The provider's business location address is:

8800 MARYS DRIVE
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 526-0997
Fax: (928) 525-1151

The provider's authorized official is Wendy Razo .
The authorized official title is Executive Director and has the following contact phone number (928) 777-3280.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 2/22/2018.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness		BH-3195	ARIZONA	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: 4/28/2024

NPI Synchronization or Removal

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