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

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

Adult Day Care Clinic/Center: Definition to come...

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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.