Organization · NPI-2

Az Sookster LLC

Day Training, Developmentally Disabled Services · Glendale, AZ

NPI number1508331398
StatusActive
Last updated in NPPESOct 8, 2018

Details

NPI
1508331398
Entity type
Organization (NPI-2)
Legal business name
Az Sookster LLC
Organization subpart
No
Enumeration date
Oct 8, 2018
Last updated
Oct 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child––

Other names

  • Choices In Community Housing (Doing Business As)

Practice location

7800 N 59th Ave
Glendale, AZ 85301-7861

Phone 509-205-5571

Mailing address

Po Box 14814
Scottsdale, AZ 85267-4814

Authorized official

Insook Lee Landon
Owner
5092055571

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