Individual provider · NPI-1

Coleen M Ball

Technician, Attendant Care Provider · Scottsdale, AZ

NPI number1790339224

StatusActive

Last updated in NPPESAug 1, 2019

Details

NPI: 1790339224
Entity type: Individual (NPI-1)
Name: Ms. Coleen M Ball
Sex: Female
Sole proprietor: No
Enumeration date: Aug 1, 2019
Last updated: Aug 1, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3747A0650X	Technician, Attendant Care Provider	–	–	Yes
373H00000X	Day Training/Habilitation Specialist	–	–
374U00000X	Home Health Aide	–	–

Practice location

6501 E Greenway Pkwy
Ste. 103 Pmb 324
Scottsdale, AZ 85254

Phone 877-798-2921 · Fax 855-734-3373

Mailing address

6501 E Greenway Pkwy
Ste. 103 Pmb 324
Scottsdale, AZ 85254

Phone 877-798-2921 · Fax 855-734-3373

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