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Contact Information

EAGLEDANCER YOUTH AND FAMILY SERVICES, INC.
1323 LOBO TRL
SNOWFLAKE, AZ85937-5407
 Phone: 928-227-3950
 Fax: 928-338-2313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
Indicates primary specialty

NPI Profile & details for EAGLEDANCER YOUTH AND FAMILY SERVICES, INC.

NPI Number 1811295942
LBN Legal business name EAGLEDANCER YOUTH AND FAMILY SERVICES, INC.
Authorized official CHARLA HATCH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2011
Last updated 03/15/2011 - About 15 years ago
Identifiers
AZ Medicaid 263967
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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