IndividualActive
Steven Illers
NPI 1780127241 · Foster Care Agency · Kingman, AZ
Provider details
- NPI number
- 1780127241
- Entity type
- Individual
- Primary specialty
- Foster Care AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8122828 (AZ)
Practice location
3854 Heather Ave
Kingman, AZ 86401-3844
Phone: (702) 219-0881
Fax: (928) 774-2159
Mailing address
3854 Heather Ave
Kingman, AZ 86401-3844
Registry dates
- Enumerated
- 2016-11-30
- Last updated
- 2021-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.