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RUSSELL HAYS

Assisted Living, Mental Illness

Phoenix, Arizona

Provider NPI: 1649325432

Organization Information:
Organization Name:  RUSSELL HAYS


Practice Location:
3540 E CAMPO BELLO DR  PHOENIX, AZ 85032 US
Tel: 602-626-7349  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
AZBH2775

Other Provider Identifiers:

IssuerNumberStateType
866717AZ05
AZ STATE LICENSEBH2959AZ01
AZ STATE LICENSEBH2775AZ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS AZ - Page 1



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