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Arizona Training Program @coolidge — NPI 1710130059, Coolidge, AZ | NPI Central

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NPI 1710130059

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Arizona Training Program @coolidge

NPI 1710130059 · Intellectual Disabilities Intermediate Care Facility · Coolidge, AZ

Provider details

NPI number: 1710130059
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

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities

Practice location

2800 N. Highway 87

Coolidge, AZ 85228

Phone: (520) 723-4151

More AZ providers

Mailing address

2800 N Highway 87

Coolidge, AZ 85128-9460

Other names (DBA / former)

Other name: 50 Oasis Court

Registry dates

Enumerated: 2008-10-30
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.