CHANDLER ADULT CARE HOME
Adult Care Home
Chandler, Arizona
Provider NPI: 1982763751
Organization Information:Organization Name: CHANDLER ADULT CARE HOME
Practice Location:
1781 E FOLLEY CT CHANDLER, AZ 85225 US
Tel: 480-786-6008 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:
1781 E FOLLEY CT CHANDLER, AZ 85225 US
Tel: 480-786-6008 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 | 1511 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
AHCCCS | 456592 | AZ | 01 |
AHCCCS | 967755 | AZ | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin