BAL-TIP CORP
Adult Care Home
Golden Valley, Arizona
Provider NPI: 1366643876
Organization Information:Organization Name: BAL-TIP CORP
Practice Location:
3996 N BOWIE RD GOLDEN VALLEY, AZ 86413 US
Tel: 928-565-3231 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3996 N BOWIE RD GOLDEN VALLEY, AZ 86413 US
Tel: 928-565-3231 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | AZ | ALH5490 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
204806 | AZ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin