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MRS. SHAWNEE MARIE ROSS

Respite Care, Mental Illness, Child >> Respite Care >> Respite Care Facility

Registrant NPI Number: 1689747271

Individual Registrant:
MRS. SHAWNEE MARIE ROSS 
Gender: F
Sole Proprietor

Location and contact information for practice:
25112 W SADDLE MOUNTAIN RD  MORRISTOWN, AZ 85342-9068 US
Tel: 623-388-9865  Fax: --

Contact information for business:
25112 W SADDLE MOUNTAIN RD  MORRISTOWN, AZ 85342-9068 US
Tel: 623-388-9865  Fax: --

Registration Information:
NPI: 1689747271
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y385HR2055XRespite Care Facility
Respite Care
Respite Care, Mental Illness, Child
AZ10949

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
048441AZ05




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