Individual provider · Type 1 NPI

Melissa Marie Wallace

Foster Care Agency · Yuma, AZ

NPI number 1245124270 Active

Practice location

2797 W 21st Ln
Yuma, AZ 85364-6059

Specialties and licenses

TaxonomyCodeLicense
Child Physical Disabilities Respite Care 385HR2065X780 (AZ)
Foster Care Agency Primary 253J00000X780 (AZ)

Foster Care Agency: A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

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About NPI 1245124270

Melissa Marie Wallace's National Provider Identifier is 1245124270, issued on Jun 4, 2025. The primary taxonomy on file is Foster Care Agency (253J00000X), and the practice location is in Yuma, AZ. The record was last updated on Jun 4, 2025.