Sfc Shane
Sfc Shane is an Exclusive Provider Organization in Apache Junction, Arizona. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
460 E Osage Ave 1Apache Junction, AZ 85119-3748
Phone: (480) 862-5741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X |
|---|
Record details
| NPI number | 1508228701 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Elson — Long Term Care Provider · (480) 862-5741 |
| NPI enumerated | March 25, 2016 |
| Last updated in NPPES | March 25, 2016 |
| Mailing address | 11543 E Dartmouth St, Mesa, AZ 85207-2355 |