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NPI Code Detail

MEDICARE: P & C FAMILY SERVICES INC

MEDICARE: P & C FAMILY SERVICES INC
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
1251B00000XCase Management Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency
3251E00000XHome Health Agency
4101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1295190197
Entity Type Code : Organization
Provider Name (Legal Business Name) : P & C FAMILY SERVICES INC
Provider Business Mailing Address
First Line : 40 N CENTRAL AVE STE 1400
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-4436
Country : US
Telephone Number : 702-754-3484
Fax Number : 702-629-7952
Provider Business Practice Location Address
First Line : 40 N CENTRAL AVE STE 1400
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-4436
Country : US
Telephone Number : 702-754-3484
Fax Number : 702-629-7952
Authorized Official
Title or Position : DIRECTOR
Name : CLEVONNE FUNCHES
Credential :
Telephone Number : 702-754-3484
Provider Enumeration Date : 12/18/2015
Last Update Date : 12/18/2015

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Directions to “P & C FAMILY SERVICES INC ” Practice Location

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