Individual provider · Type 1 NPI
Tymon Nakia Bolton
Adult Day Care Clinic/Center · Phoenix, AZ
NPI number
1073201182
Active
Practice location
1949 E Carver Dr
Phoenix, AZ 85040-2454
Mailing address
5326 W Mcneil St
Laveen, AZ 85339-9606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
Other adult day care clinic/center providers in Phoenix
About NPI 1073201182
Tymon Nakia Bolton's National Provider Identifier is 1073201182, issued on Apr 26, 2023. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 26, 2023.