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NPI Code Detail

MEDICARE: FSL PROGRAMS

MEDICARE: FSL PROGRAMS
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
1385H00000XRespite CareADHC-036AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ADHC-036OTHERAZADHS LICENSE#
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3BH-1378OTHERAZADHS BEHAVIORAL

General Provider Information

NPI Number : 1265597231
Entity Type Code : Organization
Provider Name (Legal Business Name) : FSL PROGRAMS
Provider Business Mailing Address
First Line : 1201 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5734
Country : US
Telephone Number : 602-285-1800
Fax Number : 602-285-1838
Provider Business Practice Location Address
First Line : 3118 N 7TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4107
Country : US
Telephone Number : 602-230-9946
Fax Number : 602-279-5422
Authorized Official
Title or Position : EXECUTIVE ASSISTANT
Name : MS. ANNETTE INIGUEZ
Credential :
Telephone Number : 602-285-0808
Provider Enumeration Date : 12/27/2006
Last Update Date : 08/22/2020

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Directions to “FSL PROGRAMS ” Practice Location

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