Diamond Girl Rock Dynasty Nonprofit Music Organization

LBN: Diamond Girl Rock Dynasty Nonprofit Music Organization
Diamond Girl Rock Dynasty Nonprofit Music Organization is an health care organization with primary practice located at 7552 W Weldon Ave , Phoenix AZ 85033-3721. The organization recently has 8 registered licenses in different health care specialties including Other Service Providers / Meals, Other Service Providers / Lodging, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Emergency Care, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Transportation Services / Non-emergency Medical Transport (VAN). Ambulatory Health Care Facilities / Emergency Care is the primary health care specialty. Diamond Girl Rock Dynasty Nonprofit Music Organization can be contacted via phone (480) 280-3707, or through Pearson, Antonette Patrice via phone (623) 268-7813.

Contact Information

Primary practice address
7552 W Weldon Ave Phoenix AZ 85033-3721
Phone: (480) 280-3707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pearson, Antonette Patrice
Phone: (623) 268-7813

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Meals 174200000X
Other Service Providers / Lodging 177F00000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Emergency Care 261QE0002X
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1902558513
LBN Legal business name Diamond Girl Rock Dynasty Nonprofit Music Organization
DBA Doing business as
Authorized official Pearson, Antonette Patrice
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2022
Last updated Jan 25th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902558513 NPPES
Arizona MEDICAID 00000789345
Arizona Other 00000789346
Arizona Other 00000789347

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