RANDY BLAND

GOODYEAR, AZ
NPI1700423902
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy385HR2055X Respite Care, Respite Care, Mental Illness, Child
(Licence: AZ  10126301)
Enumeration Date2019-12-06
Last Update Date2021-06-29
Business Address
RANDY BLAND
14047 W MONTE VISTA RD
GOODYEAR, AZ 85395
Phone number: 480-334-2092
Mailing Address
RANDY BLAND
INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC. PO BOX 86537
TUCSON, AZ 85754-6537
Phone number:
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