Organization · NPI-2

Streams In The Desert Ministries, INC.

Custodial Care Facility, Adult Care Home · Tempe, AZ

NPI number1164624821
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1164624821
Entity type
Organization (NPI-2)
Legal business name
Streams In The Desert Ministries, INC.
Organization subpart
No
Enumeration date
Jun 4, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care HomeALH-1165AZYes

Practice location

5612 S Heather Dr
Tempe, AZ 85283-2214

Phone 480-897-1907 · Fax 480-897-1287

Mailing address

5612 S Heather Dr
Tempe, AZ 85283-2214

Phone 480-897-1907 · Fax 480-897-1287

Authorized official

Priscilla E Smith
Manager
4808971907

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