Daradici, Jodi

Daradici, Jodi is an sole proprietor health care provider with primary practice located at 16610 N 19Th St , Phoenix AZ 85022-6259. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Daradici, Jodi can be contacted via phone (602) 795-3971.

Contact Information

Primary practice address
16610 N 19Th St Phoenix AZ 85022-6259
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 5810 Arizona

Profile Details

NPI number 1548336811
LBN Legal business name Daradici, Jodi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548336811 NPPES
Arizona Other 825713 AHCCCS ID NUMBER

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