Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEVEN ILLERS
Active Sole ProprietorSTEVEN ILLERS is a Foster Care Agency healthcare provider located in KINGMAN, Arizona. NPI 1780127241 is currently active in the NPPES registry. Verify at CMS.
Foster Care Agency · KINGMAN, AZ
Registration Details
- NPI Number
- 1780127241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2016 (9.7293939405729 yrs)
- Last Updated
- Feb 4, 2021
- Licenses
-
8122828 (AZ)8122828 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3854 HEATHER AVEKINGMAN, AZ, 864013844Browse AZ providers · Browse ZIP 86401
- Phone
- 7022190881
- Fax
- 9287742159
- Primary Specialty
-
Foster Care Agency
253J00000X
- Additional Specialty
- Foster Care Agency
Other Foster Care Agency Providers in KINGMAN, AZ
| Name | Credential | NPI |
|---|---|---|
| GABRIELLE REYNOLDS | — | 1215181219 |
| SION COLMUS | — | 1063005361 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.