Organization · Type 2 NPI

Arizona Training Program @ Coolidge

Intellectual Disabilities Intermediate Care Facility · Coolidge, AZ

NPI number 1346901956 Active

Practice location

2800 N. Hwy 87
Coolidge, AZ 85128

Fax (520) 723-7618

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	None listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

Other intellectual disabilities intermediate care facility providers in Coolidge

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NPI record

NPI: 1346901956
Entity type: Organization (Type 2)
Issued: Jan 5, 2022
Last updated: Jul 3, 2024
Status: Active
Subpart: Yes of State of Arizona

Other names

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40 Oasis Court · other name
40 Oasis Court · other name

Authorized official

Zane Garcia Ramadan
Assistant Director
(480) 490-6538

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346901956

Arizona Training Program @ Coolidge's National Provider Identifier is 1346901956, issued on Jan 5, 2022. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Coolidge, AZ. The record was last updated on Jul 3, 2024.