IndividualActive
Shavonne Louis
NPI 1417685280 · Adult Day Care Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1417685280
- Entity type
- Individual
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
Practice location
303 E. South Moutain Ave
Lot 76
Phoenix, AZ 85042
Phone: (480) 514-0288
Approximate (ZIP-level) locationGet directions
Mailing address
303 E. South Moutain Ave
Phoenix, AZ 85042
Registry dates
- Enumerated
- 2022-08-10
- Last updated
- 2023-03-29
- Certified
- 2023-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.