Individual provider · Type 1 NPI
Mehry Lyn Moses, CLS
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Phoenix, AZ
Practice location
1816 E Whitton Ave
Phoenix, AZ 85016-6416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Assisted Living Facility | 310400000X | None listed |
| Private Vehicle | 347C00000X | None listed |
| Homemaker | 376J00000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1659987998
Mehry Lyn Moses, CLS's National Provider Identifier is 1659987998, issued on Sep 22, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 22, 2020.