Organization · Type 2 NPI
ST Johns Concho Senior Citizens Assoc
Voluntary or Charitable Agency · St. Johns, AZ
NPI number
1093986499
Active
Practice location
395 South First West St, St Johns Concho Senior Citizens Assoc
St. Johns, AZ 85936-0887
Fax (928) 337-2581
Mailing address
PO Box 887
St. Johns, AZ 85936-0887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable Agency Primary | 251V00000X | P0496 (AZ) |
Voluntary or Charitable Agency: Definition to come...
About NPI 1093986499
ST Johns Concho Senior Citizens Assoc's National Provider Identifier is 1093986499, issued on Mar 13, 2008. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in St. Johns, AZ. The record was last updated on Mar 13, 2008.