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BREA PEORIA, LLC

Alzheimer Center

Peoria, Arizona

Provider NPI: 1982931002

Organization Information:
Organization Name:  BREA PEORIA, LLC


Practice Location:
9296 W UNION HILLS DR  PEORIA, AZ 85382 US
Tel: 623-362-2700  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
AZAL6220C
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
AZAL6220C

Other Provider Identifiers:

IssuerNumberStateType
AZ AHCCCS970635AZ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS AZ - Page 1



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