CLARENCE & JEANNE KINSLEY, DBA
NPI 1255703229
Respite Care - Respite Care, Mental Illness, Child in Dewey, AZ
- Organization
- Respite Care
- Respite Care, Mental Illness, Child
About CLARENCE & JEANNE KINSLEY, DBA
This page provides the complete NPI Profile along with additional information for Clarence & Jeanne Kinsley, Dba, a provider established in Dewey, Arizona operating as a Respite Care, focusing in respite care, mental illness, child . The healthcare provider is registered in the NPI registry with number 1255703229 assigned on October 2015. The practitioner's primary taxonomy code is 385HR2055X with license number BH4541 (AZ). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Jeanne Marie Kinsley (Owner/childrens Respite Provider)
- NPI
- 1255703229 Verify this NPI
- Provider Name
- CLARENCE & JEANNE KINSLEY, DBA
- Entity Type
- Organization
- Location Address
- 17100 E. LIONS CROSSING RD DEWEY, AZ 86327
- Location Phone
- (928) 772-8070
- Mailing Address
- PO BOX 102 DEWEY, AZ 86327
- Mailing Phone
- (928) 772-8070
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-29-2015
- Last Update Date
- 10-29-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Respite Care Respite Care, Mental Illness, Child
- Taxonomy Code
- 385HR2055X
- Type
- Respite Care Facility
- License No.
- BH4541
- License State
- AZ
- Taxonomy Description
- A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255703229, enumerated as an "organization" on October 29, 2015.
The provider is located at 17100 E. LIONS CROSSING RD DEWEY, AZ 86327 and the phone number is (928) 772-8070.
Respite Care with taxonomy code 385HR2055X and a focus in Respite Care, Mental Illness, Child.