# ELDERCARE SPRINGS

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

## Provider details

- **NPI number:** 1770149635
- **Authorized official:** WILLIAM SHANE FISHER (OWNER)
- **Authorized official phone:** (928) 635-6750

## Contact information

- **Practice address:** 3620 N WALKER ST, FLAGSTAFF, AZ 86004-2031
- **Practice address phone:** (928) 635-6750
- **Practice address fax:** (928) 526-5169
- **Mailing address:** PO BOX 30354, FLAGSTAFF, AZ 86003-0354
- **Mailing address phone:** (928) 635-6750
- **Mailing address fax:** (928) 526-5169

## Taxonomy

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

## Other

- **Enumeration date:** 05/16/2019
- **Last updated:** 05/16/2019