<Unavail>

LBN: Easter Seals Blake Foundation
<Unavail> is an health care organization with primary practice located at 7756 E Broadway Blvd Ste C100 , Tucson AZ 85710-4022. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Easter Seals Blake Foundation can be contacted via phone (520) 327-1529, or through Arendt, Marissa S via phone (520) 327-1529.

Contact Information

Primary practice address
7756 E Broadway Blvd Ste C100 Tucson AZ 85710-4022
Phone: (520) 327-1529
Fax: (520) 514-9878
Website:
Map and Directions
Authorized official contact:
Name: Arendt, Marissa S
Phone: (520) 327-1529

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1932530797
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 4th, 2013
Last updated Feb 22nd, 2024 - about 2 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 1932530797 NPPES
Arizona Other OTC-6111 AZ DEPT OF HEALTH SERVICES LICENSE
Arizona Other 885160 AZ DEPT OF HEALTH SERVICES LICENSE
Arizona MEDICAID 885160 AZ DEPT OF HEALTH SERVICES LICENSE

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