PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME
Assisted Living Facility
Phoenix, Arizona
Provider NPI: 1225052814
Organization Information:Organization Name: PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME
Practice Location:
3040 N 36TH ST KIVEL MANOR ASSISTED LIVING PHOENIX, AZ 85018 US
Tel: 602-443-8020 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:
3040 N 36TH ST KIVEL MANOR ASSISTED LIVING PHOENIX, AZ 85018 US
Tel: 602-443-8020 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | AZ | ALC-5831 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
121592 | AZ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin