IndividualActive
Jenny Blythe
NPI 1235687153 · Foster Care Agency · Mesa, AZ
Provider details
- NPI number
- 1235687153
- Entity type
- Individual
- Primary specialty
- Foster Care AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6083377 (AZ)
Specialties & taxonomies
Agencies
Other Service Providers
- Child Mental Illness Respite Care385HR2055X
Respite Care Facility
Practice location
4121 S Brice
Mesa, AZ 85212-4183
Phone: (480) 694-3542
Approximate (ZIP-level) locationGet directions
Mailing address
4121 S Brice
Mesa, AZ 85212-4183
Registry dates
- Enumerated
- 2016-09-20
- Last updated
- 2025-08-26
- Certified
- 2025-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.