Individual provider · Type 1 NPI
Theresa Jean Gallegos
Assisted Living Facility · Flagstaff, AZ
NPI number
1023802204
Active
Practice location
6915 Chris Ln
Flagstaff, AZ 86004-1228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL10168H (AZ) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1023802204
Theresa Jean Gallegos's National Provider Identifier is 1023802204, issued on Apr 4, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Flagstaff, AZ. The record was last updated on Apr 4, 2025.