OrganizationActive
1203 Palloverde LLC
NPI 1114233079 · Adult Day Care Clinic/Center · Chandler, AZ
Provider details
- NPI number
- 1114233079
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Brian Hackett, President
- License
- AL7815H (AZ)
Mailing address
1203 W Palo Verde Dr
Chandler, AZ 85224-2358
Registry dates
- Enumerated
- 2010-08-28
- Last updated
- 2010-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.