# ADVISACARE SOLUTIONS OF ARIZONA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114449956
- **Authorized official:** KRISTIAN SKOGEN (CEO)
- **Authorized official phone:** (616) 464-1117

## Contact information

- **Practice address:** 698 E WETMORE RD STE 330, TUCSON, AZ 85705-1752
- **Practice address phone:** (520) 323-2559
- **Practice address fax:** (520) 323-2561
- **Mailing address:** 4234 CASCADE RD SE, GRAND RAPIDS, MI 49546-8384
- **Mailing address phone:** (616) 464-1117
- **Mailing address fax:** (616) 464-1044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2017
- **Last updated:** 07/13/2017