JESUS DUARTE NPI 1841358231

NPI Information

Jesus Duarte is a respite care and mental illness and child respite care in Parks, 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. Jesus Duarte NPI is 1841358231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

291 N. STEVENS LN.
LOT 13
PARKS, AZ
ZIP 86018
Phone: (928) 600-5544

The enumeration date for this NPI number is 12/5/2006 and was last updated on 7/8/2007.

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:

Other Identifiers

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

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