<Unavail>

LBN: Easter Seals Blake Foundation
<Unavail> is an health care organization with primary practice located at 4454 E 3Rd St , Tucson AZ 85711-1189. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Easter Seals Blake Foundation can be contacted via phone (520) 881-3090, or through Arendt, Marissa S via phone (520) 327-1529.

Contact Information

Primary practice address
4454 E 3Rd St Tucson AZ 85711-1189
Phone: (520) 881-3090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Arendt, Marissa S
Phone: (520) 327-1529

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH-4429 Arizona

Profile Details

NPI number 1548691454
LBN Legal business name Easter Seals Blake Foundation
DBA Doing business as <Unavail>
Authorized official Arendt, Marissa S
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2013
Last updated Aug 3rd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548691454 NPPES
Arizona Other 881725 AHCCCS PROVIDER
Arizona Other BH4429 AHCCCS PROVIDER

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