IndividualActive
Melissa Wallace
NPI 1245124270 · Foster Care Agency · Yuma, AZ
Provider details
- NPI number
- 1245124270
- Entity type
- Individual
- Primary specialty
- Foster Care AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 780 (AZ)
Specialties & taxonomies
Agencies
Respite Care Facility
Practice location
2797 W 21st Ln
Yuma, AZ 85364-6059
Phone: (928) 386-0844
Approximate (ZIP-level) locationGet directions
Mailing address
2797 W 21st Ln
Yuma, AZ 85364-6059
Registry dates
- Enumerated
- 2025-06-04
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.