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Contact Information

VIRGINIA R ARCHIE
1502 E CARSON RD
PHOENIX, AZ85042-5621
 Phone: 602-276-7690
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Respite Care, Mental Illness, Child

385HR2055X
Indicates primary specialty

NPI Profile & details for

NPI # 1114045614
Entity Organization
Organization subpart 1 Not specified
Enumeration date 03/26/2007
Last updated 03/13/2020 - About 6 years ago
Identifiers
AS License # 1372
AZ License # 1372
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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