Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgina Helene Rudzik

Individual provider Child Mental Illness Respite Care · NPI 1356810766

Georgina Helene Rudzik is a Child Mental Illness Respite Care in Coolidge, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1211 W Ocotillo St
Coolidge, AZ 85128-9152
Phone: (541) 740-8642
Fax: (602) 455-4624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foster Care Agency (primary) Taxonomy 253J00000X · Licence 9229105 (AZ)
Child Mental Illness Respite Care Taxonomy 385HR2055X · Licence 9229105 (AZ)

Record details

NPI number1356810766
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 14, 2018
Last updated in NPPESApril 23, 2021
Certification dateApril 23, 2021

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