MEDICARE: DESERT WINDS EMPLOYMENT CONSULTANTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency		AZ

General Provider Information

NPI Number	:	1255577011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT WINDS EMPLOYMENT CONSULTANTS

Provider Business Mailing Address
First Line	:	5060 N 19TH AVE
Second Line	:	SUITE 307
City	:	PHOENIX
State	:	AZ
Zip	:	85015-3210
Country	:	US
Telephone Number	:	602-240-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	5060 N 19TH AVE
Second Line	:	SUITE 307
City	:	PHOENIX
State	:	AZ
Zip	:	85015-3210
Country	:	US
Telephone Number	:	602-240-5900
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHARON PATRICIA GATERS
Credential	:
Telephone Number	:	602-240-5900

Provider Enumeration Date	:	12/29/2008
Last Update Date	:	12/29/2008

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