1203 Palloverde LLC
NPI #1114233079 in Chandler, Arizona
Provider Information
- NPI Number
- 1114233079
- Entity Type
- Organization
- Organization Name
- 1203 Palloverde LLC
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Aug 28, 2010
- Last Updated
- Aug 28, 2010
Practice Location
Authorized Official
- Name
- MR. BRIAN HACKETT
- Title
- PRESIDENT
- Phone
- (202) 288-0422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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