IndividualActive
Tymon Bolton
NPI 1073201182 · Adult Day Care Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1073201182
- Entity type
- Individual
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
5326 W Mcneil St
Laveen, AZ 85339-9606
Registry dates
- Enumerated
- 2023-04-26
- Last updated
- 2023-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.