Provider Demographics
NPI:1457625485
Name:AZ SCHOOL FOR THE DEAF AND BLIND
Entity Type:Organization
Organization Name:AZ SCHOOL FOR THE DEAF AND BLIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STUDENT HEALTH NURSE
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:MORLEY
Authorized Official - Last Name:DOURIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:520-770-3658
Mailing Address - Street 1:P.O. BOX 85000
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85775-5406
Mailing Address - Country:US
Mailing Address - Phone:520-770-3658
Mailing Address - Fax:
Practice Address - Street 1:1200 W. SPEEDWAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-5406
Practice Address - Country:US
Practice Address - Phone:520-770-3658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility