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Contact Information

SHALONDA CHEATHAM
6834 W DARREL RD
LAVEEN VILLAGE, AZ85339-2671
 Phone: 602-455-4626
 Fax: 602-455-2624
 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 # 1518383397
Entity Organization
Organization subpart 1 Not specified
Enumeration date 03/17/2014
Last updated 03/10/2020 - About 6 years ago
Identifiers
AZ License # 5197315
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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