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NPI 1487721049

IndividualActive

Alphonso Taylor

NPI 1487721049 · Child Mental Illness Respite Care · Laveen, AZ

Provider details

NPI number: 1487721049
Entity type: Individual
Primary specialty: Child Mental Illness Respite CareRespite Care Facility
Sex: Male
Sole proprietor: Yes
License: 10046 (AZ)

Practice location

8528 S 49th Ln

Laveen, AZ 85339-2161

Phone: (480) 593-2018

More AZ providers

Mailing address

7018 W Carson Rd

Laveen, AZ 85339-7030

Registry dates

Enumerated: 2006-11-29
Last updated: 2008-02-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alphonso Taylor — NPI 1487721049, Laveen, AZ | NPI Central