Individual provider · Type 1 NPI

Regina Jumalon Bicking

Assisted Living Facility · Phoenix, AZ

NPI number 1679136774 Active

Practice location

1532 W Charleston Ave
Phoenix, AZ 85023-2507

Call (602) 526-4596 Map

Fax (602) 281-2828

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL10721H (AZ)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1679136774

Regina Jumalon Bicking's National Provider Identifier is 1679136774, issued on Apr 16, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 16, 2019.