SENIOR LIVING OPTIONS MARYLAND GARDENS, LLC
Alzheimer Center
Phoenix, Arizona
Provider NPI: 1386726222
Organization Information:Organization Name: SENIOR LIVING OPTIONS MARYLAND GARDENS, LLC
Practice Location:
31 W MARYLAND AVE PHOENIX, AZ 85013 US
Tel: 602-265-7484 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:
31 W MARYLAND AVE PHOENIX, AZ 85013 US
Tel: 602-265-7484 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 | ALC5942 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
160139 | AZ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin