Agl Desert View

LBN: Fsl Pathways
Agl Desert View is an health care organization with primary practice located at 4849 E Desert View Dr , Phoenix AZ 85044-1225. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Fsl Pathways can be contacted via phone (480) 496-0622, or through Iniguez, Annette via phone (602) 285-0505.

Contact Information

Primary practice address
4849 E Desert View Dr Phoenix AZ 85044-1225
Phone: (480) 496-0622
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Iniguez, Annette
Phone: (602) 285-0505

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X BH1185 Arizona

Profile Details

NPI number 1184780942
LBN Legal business name Fsl Pathways
DBA Doing business as Agl Desert View
Authorized official Iniguez, Annette
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 2020 - 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 1184780942 NPPES
Arizona MEDICAID 346438
Arizona Other BH1185

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