Individual provider · Type 1 NPI
Rebecca Siddiqui
Adult Care Home Facility · Phoenix, AZ
NPI number
1346645702
Active
Practice location
4113 W Hayward Ave
Phoenix, AZ 85051-5751
Fax (623) 399-8915
Mailing address
7212 W Mcrae Way
Glendale, AZ 85308-5837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AL8880H (AZ) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
3 other providers at this address
Other adult care home facility providers in Phoenix
About NPI 1346645702
Rebecca Siddiqui's National Provider Identifier is 1346645702, issued on Oct 28, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 28, 2014.