SearchArizonaFoster Care Agency

Steven Illers

NPI 1780127241 · on the registry since 2016 · sole proprietor

Practice

Address
3854 Heather Ave
Kingman, AZ 86401
Phone
(702) 219-0881
Fax
(928) 774-2159

Registry record

Primary taxonomy
Foster Care Agency
253J00000X
Also registered as
Child Mental Illness Respite Care
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona