IndividualActive
Patricia Hollenbeck
NPI 1124439518 · Foster Care Agency · Prescott Valley, AZ
Provider details
- NPI number
- 1124439518
- Entity type
- Individual
- Primary specialty
- Foster Care AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5300770 (AZ)
Specialties & taxonomies
Agencies
Respite Care Facility
Practice location
4501 N Lone Cactus Dr
Prescott Valley, AZ 86314-5307
Phone: (928) 205-1127
Approximate (ZIP-level) locationGet directions
Mailing address
4501 N Lone Cactus Dr
Prescott Valley, AZ 86314-5307
Registry dates
- Enumerated
- 2014-05-19
- Last updated
- 2021-02-04
- Certified
- 2021-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.