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Contact Information

SEQUELCARE OF ARIZONA, LLC
450 WEST 5TH PLACE
MESA, AZ85201
 Phone: 480-429-4126
 Fax: 480-429-4126
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for SEQUELCARE OF ARIZONA, LLC

NPI # 1275860702
LBN Legal business name SEQUELCARE OF ARIZONA, LLC
Authorized official NADINE RAMIREZ - (DEPUTY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2009
Last updated 02/01/2010 - About 16 years ago
Identifiers
AZ License # BH-3441
AZ Medicaid 476231
AZ Other BH-3441 OBHL LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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