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RANDALL DAVID SCHROEDER

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

Registrant NPI Number: 1982830691

Individual Registrant:
 RANDALL DAVID SCHROEDER 
Gender: M
Sole Proprietor

Location and contact information for practice:
3095 S PEAKS VIEW DR POB 50901 PARKS, AZ 86018-0901 US
Tel: 928-607-9562  Fax: --

Contact information for business:
3095 S PEAKS VIEW DRIVE POB 50901 PARKS, AZ 86018 US
Tel: 928-607-9562  Fax: --

Registration Information:
NPI: 1982830691
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y385HR2055XRespite Care Facility
Respite Care
Respite Care, Mental Illness, Child
AZ1446377

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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