Individual provider · Type 1 NPI
Shavonne Louis
Adult Day Care Clinic/Center · Phoenix, AZ
NPI number
1417685280
Active
Practice location
303 E. South Moutain Ave, Lot 76
Phoenix, AZ 85042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
Other adult day care clinic/center providers in Phoenix
About NPI 1417685280
Shavonne Louis's National Provider Identifier is 1417685280, issued on Aug 10, 2022. 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 Mar 29, 2023.