Provider Demographics
NPI:1316758253
Name:TURAY, AMIDA VICTORIA
Entity type:Individual
Prefix:
First Name:AMIDA
Middle Name:VICTORIA
Last Name:TURAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8150 N 61ST AVE APT 3033
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-6760
Mailing Address - Country:US
Mailing Address - Phone:602-725-2628
Mailing Address - Fax:
Practice Address - Street 1:8150 N 61ST AVE APT 3033
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-6760
Practice Address - Country:US
Practice Address - Phone:602-725-2628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home