Organization · NPI-2

Advanced Independence

Day Training, Developmentally Disabled Services · Glendale, AZ

NPI number1447401039
StatusActive
Last updated in NPPESOct 1, 2008

Details

NPI
1447401039
Entity type
Organization (NPI-2)
Legal business name
Advanced Independence
Organization subpart
No
Enumeration date
Oct 1, 2008
Last updated
Oct 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services–AZYes
251G00000X Hospice Care, Community Based–AZ
252Y00000X Early Intervention Provider Agency–AZ

Practice location

5313 W Muriel Dr
Glendale, AZ 85308-5356

Phone 602-439-7080 · Fax 602-863-6385

Mailing address

4410 W Union Hills Dr
Suite 7
Glendale, AZ 85308-1660

Phone 602-439-7080 · Fax 602-863-6385

Authorized official

Cynthia Lynne Moody
Ceo/Diredtor
6024397080

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