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Feathers Of Flight L.l.c.

Feathers Of Flight L.l.c. is a health care provider in Queen Creek, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 30872 N Royal Oak Way, Queen Creek, AZ 85243-4173, US
Practice Location Phone480-560-5518
Practice Location Fax480-383-6233
Legal Business NameFEATHERS OF FLIGHT L.L.C.
Other Organization NameFEATHERS OF FLIGHT
Other Organization Name TypeDoing Business As Name
NPI ?1578707436
Entity TypeOrganization
Enumeration Date ? Apr 22, 2009
Last Update Date ? Apr 22, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Feathers Of Flight L.l.c.

SpecialtySpecializationLicenseLicense State
Community/Behavioral Health BH-3282Arizona

legacy-id-icon Legacy Provider IDs of Feathers Of Flight L.l.c.

Provider IdIssuer StateIssuer TypeIssuer
251S00000XArizonaMedicaid

official-icon Authorized Official of Feathers Of Flight L.l.c.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Feathers Of Flight L.l.c.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Prof. Steven Ray Isham (M.A. / L.B.S.W)
Authorized Official Title/PositionCLINICAL DIRECTOR
Authorized Official Phone Number480-471-7179