IndividualActive
Diane Swope
NPI 1366811002 · Child Mental Illness Respite Care · Prescott Valley, AZ
Provider details
- NPI number
- 1366811002
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
- License
- BH4548 (AZ)
Specialties & taxonomies
Respite Care Facility
Practice location
3517 N Victor Rd
Prescott Valley, AZ 86314-8437
Phone: (928) 848-7861
Approximate (ZIP-level) locationGet directions
Mailing address
3517 N Victor Rd
Prescott Valley, AZ 86314-8437
Registry dates
- Enumerated
- 2015-09-23
- Last updated
- 2015-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.