Guardians Of The Four Corners Llc

LBN: Guardians Of The Four Corners Llc
Guardians Of The Four Corners Llc is an health care organization with primary practice located at 38039 N Dena Dr , San Tan Valley AZ 85140-4426. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Guardians Of The Four Corners Llc can be contacted via phone (480) 220-5864, or through Dery, Jessica via phone (480) 220-5864.

Contact Information

Primary practice address
38039 N Dena Dr San Tan Valley AZ 85140-4426
Phone: (480) 220-5864
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dery, Jessica PHMNP-BC
Phone: (480) 220-5864

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1588380117
LBN Legal business name Guardians Of The Four Corners Llc
DBA Doing business as
Authorized official Dery, Jessica PHMNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2022
Last updated Apr 10th, 2024 - about 7 months 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.

Request for update

Popular Providers