# SUSAN'S ADULT CARE, LLC

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

## Provider details

- **NPI number:** 1619148509
- **Authorized official:** MRS. SUSAN LORI NERHEIM (OWNER)
- **Authorized official phone:** (480) 998-7840

## Contact information

- **Practice address:** 6722 E CAMINO DE LOS RANCHOS, SCOTTSDALE, AZ 85254-3908
- **Practice address phone:** (480) 998-7840
- **Practice address fax:** (480) 219-0464
- **Mailing address:** 6722 E CAMINO DE LOS RANCHOS, SCOTTSDALE, AZ 85254-3908
- **Mailing address phone:** (480) 998-7840
- **Mailing address fax:** (480) 219-0464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | ALH4544 | AZ | Yes |
| 311ZA0620X | Adult Care Home Facility | ALH4915 | AZ | — |

## Other

- **Enumeration date:** 03/18/2008
- **Last updated:** 03/18/2008