LABELLA ASSISTED LIVING
Adult Care Home
Kingman, Arizona
Provider NPI: 1184825697
Organization Information:Organization Name: LABELLA ASSISTED LIVING
Practice Location:
1721 PALO VERDE DR KINGMAN, AZ 86409 US
Tel: 928-757-2736 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:
1721 PALO VERDE DR KINGMAN, AZ 86409 US
Tel: 928-757-2736 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 | ALH5972 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
204863 | AZ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin