| NPI | 1154443331 |
|---|---|
| Former Legal Business Name | SEQUELCARE OF ARIZONA, LLC-FOSTER CARE |
| Entity Type | Organization |
| Authorized Contact | BROOKE WILSON Senior Credentialing Specialist 928-910-7644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: AZ A7) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-07-21 |