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CERBAT GUEST HOME INC.

Adult Care Home

Kingman, Arizona

Provider NPI: 1982769907

Organization Information:
Organization Name:  CERBAT GUEST HOME INC.


Practice Location:
2364 E CARVER AVE  KINGMAN, AZ 86409 US
Tel: 928-757-3989  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
AZALC-2600

Other Provider Identifiers:

IssuerNumberStateType
FACILITY LICENCEALC-2600AZ01
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



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