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LDRKAIR

Adult Care Home

Snowflake, Arizona

Provider NPI: 1386971877

Organization Information:
Organization Name:  LDRKAIR


Practice Location:
395 W GARDEN LN  SNOWFLAKE, AZ 85937 US
Tel: 928-536-7935  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
AZALC-4533

Other Provider Identifiers:

IssuerNumberStateType
EVERCARE PROVIDER SUBSCRIBER IDEVC6003704AZ01
EVERCARE PROVIDER CAREONE ID28275659AZ01
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