Debra Tipton
Foster Care Agency in Apache Junction, AZ. Individual provider (NPI-1).
NPI number1679639447
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1679639447
- Entity type
- Individual (NPI-1)
- Name
- Debra Tipton
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2006
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | 11092 | AZ | Yes |
| 385HR2055X | Respite Care, Respite Care, Mental Illness, Child | 11092 | AZ |
Practice location
1445 W 18th AveApache Junction, AZ 85120-6348
Phone 480-510-1837
Mailing address
1445 W 18th AveApache Junction, AZ 85120-6348
Phone 480-510-1837 · Fax 602-455-4624
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