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MRS. MELVA LYNETTE WILSON-CALVIN RN

Adult Care Home

Gilbert, Arizona

Provider NPI: 1780743195

Provider Information:
MRS. MELVA LYNETTE WILSON-CALVIN RN


Practice Location:
22831 S RECKER RD  GILBERT, AZ 85297 US
Tel: 480-279-1071  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
AZAFC-5336

Other Provider Identifiers:

IssuerNumberStateType
AHCCCS ID482448AZ01
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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