OrganizationActive
Arizona Training Program - Earll
NPI 1306001052 · Intellectual Disabilities Intermediate Care Facility · Phoenix, AZ
Provider details
- NPI number
- 1306001052
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- State of Arizona
- Organization subpart
- Yes
- Authorized official
- Zane Garcia Ramadan, Assistant Director(480) 490-6538
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
3043 N 37th Street
Phoenix, AZ 85018
Phone: (602) 224-9986
Approximate (ZIP-level) locationGet directions
Mailing address
1789 W Jefferson St
Phoenix, AZ 85005
Registry dates
- Enumerated
- 2008-07-22
- Last updated
- 2024-07-03
- Certified
- 2024-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.