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LOUIS BEDOYA
Respite Care, Mental Illness, Child >> Respite Care >> Respite Care FacilityRegistrant NPI Number: 1912469453
Individual Registrant: LOUIS BEDOYA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
33727 S COLONY DR RED ROCK, AZ 85145-5044 US
Tel: 520-404-2232 Fax: --
Tel: 520-404-2232 Fax: --
Contact information for business:
33727 S COLONY DR RED ROCK, AZ 85145-5044 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1912469453
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 385HR2055X | Respite Care Facility Respite Care Respite Care, Mental Illness, Child | AZ | 7173970 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| AZ DEPT OF HEALTH SERVICES | 7173970 | AZ | 01 |
