Provider Demographics
NPI:1659838993
Name:SAGUARO FAMILY FITNESS CENTER, INC.
Entity Type:Organization
Organization Name:SAGUARO FAMILY FITNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:R
Authorized Official - Last Name:LANSING
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:480-982-7794
Mailing Address - Street 1:305 N PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85120-5505
Mailing Address - Country:US
Mailing Address - Phone:480-982-7794
Mailing Address - Fax:480-982-0774
Practice Address - Street 1:305 N PLAZA DR
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120-5505
Practice Address - Country:US
Practice Address - Phone:480-982-7794
Practice Address - Fax:480-982-0774
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAGUARO FAMILY FITNESS CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management