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SHOLT CORPORATION

Assisted Living, Behavioral Disturbances

Chandler, Arizona

Provider NPI: 1497808034

Organization Information:
Organization Name:  SHOLT CORPORATION


Practice Location:
660 N BECK AVE  CHANDLER, AZ 85226 US
Tel: 480-705-9124  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0630XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Behavioral Disturbances
AZALH5217

Other Provider Identifiers:

IssuerNumberStateType
946626AZ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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