Eagledancer Youth And Family Services, Inc.

LBN: Eagledancer Youth And Family Services, Inc.
Eagledancer Youth And Family Services, Inc. is an health care organization with primary practice located at 1323 Lobo Trl , Snowflake AZ 85937-5407. The organization recently has only one registered license in Agencies / Foster Care Agency, which is considered as the primary health care specialty. Eagledancer Youth And Family Services, Inc. can be contacted via phone (928) 227-3950, or through Hatch, Charla C via phone (928) 229-0560.

Contact Information

Primary practice address
1323 Lobo Trl Snowflake AZ 85937-5407
Phone: (928) 227-3950
Fax: (928) 338-2313
Website:
Map and Directions
Authorized official contact:
Name: Hatch, Charla C
Phone: (928) 229-0560

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X Arizona

Profile Details

NPI number 1811295942
LBN Legal business name Eagledancer Youth And Family Services, Inc.
DBA Doing business as
Authorized official Hatch, Charla C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2011
Last updated Mar 15th, 2011 - about 13 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 1811295942 NPPES
Arizona MEDICAID 263967

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