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Organization
SCOTTSDALE RESIDENTIAL CARE INVESTORS
Active
Organization
SCOTTSDALE RESIDENTIAL CARE INVESTORS
Active
Other names
Scottsdale Village Square
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA A. BYRUM (CONTROLLER)
(480) 946-6571
Entity
Organization
Contact information
Practice address
2620 NORTH 68TH STREET, MAIN BUILDING, SCOTTSDALE, AZ 85257-1202
(480) 946-6571
(480) 946-0082
Mailing address
2620 N 68TH ST, SCOTTSDALE, AZ 85257-1202
(480) 946-6571
(480) 946-0082
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
ALC-5259
AZ
314000000X
Skilled Nursing Facility
Primary
NCI-068
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426355
—
AZ
Enumeration date
08/17/2005
Last updated
07/24/2013
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