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NPI Code Detail

MEDICARE: FOUR DIRECTIONS LLC

MEDICARE: FOUR DIRECTIONS LLC
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 CareCSA08ADHS01982AZ

General Provider Information

NPI Number : 1861658700
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUR DIRECTIONS LLC
Provider Business Mailing Address
First Line : PO BOX 10908
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85271-0908
Country : US
Telephone Number : 480-699-2344
Fax Number : 480-699-3035
Provider Business Practice Location Address
First Line : 8149 E POSADA AVE
Second Line :
City : MESA
State : AZ
Zip : 85212-1667
Country : US
Telephone Number : 480-699-2344
Fax Number : 480-699-3035
Authorized Official
Title or Position : PROGRAM ADMINISTRATOR
Name : MR. ROMUALDO R MUNOZ
Credential :
Telephone Number : 480-699-2344
Provider Enumeration Date : 07/30/2008
Last Update Date : 07/30/2008

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Directions to “FOUR DIRECTIONS LLC ” Practice Location

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