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AMANDA'S CARE HOME LLC

Adult Care Home

Mesa, Arizona

Provider NPI: 1811044944

Organization Information:
Organization Name:  AMANDA'S CARE HOME LLC


Practice Location:
8647 E PAMPA AVE  MESA, AZ 85212 US
Tel: 480-373-8437  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
AZALH-A108

Other Provider Identifiers:

IssuerNumberStateType
AHCCCS PROVIDER ID NUMBER774267AZ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS AZ - Page 1