DI
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
PHOENIX, AZ
Licensed since
2008
Rate
—
Federal identifiers
NPI registry number1003083551
Agency details
Parent orgPHOENIX INDIAN MEDICAL CENTER
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients81
Authorized official
NameLAURA TILLMAN
TitleCMO
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