ADULT RESIDENTIAL CARE SERVICES, INC.
Alzheimer Center
Prescott, Arizona
Provider NPI: 1437299880
Organization Information:Organization Name: ADULT RESIDENTIAL CARE SERVICES, INC.
Practice Location:
878 SUNSET AVE PRESCOTT, AZ 86305 US
Tel: 928-445-6633 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:
878 SUNSET AVE PRESCOTT, AZ 86305 US
Tel: 928-445-6633 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | AZ | ALC-2168 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
STATE LICENSE | ALC-2168 | AZ | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin