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Organization
ARISEVIDA CARE LLC
Active
Organization
ARISEVIDA CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR ALLAYEV (CEO)
(602) 796-3484
Entity
Organization
Contact information
Practice address
4040 E MCDOWELL RD STE 107, PHOENIX, AZ 85008-4428
(602) 899-1229
Mailing address
4040 E MCDOWELL RD STE 107, PHOENIX, AZ 85008-4428
(602) 899-1229
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
NULL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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