Organization
MAX CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XAVIER FIELDS (OWNER)
(951) 796-7460
Entity
Organization
Contact information
Practice address
843 E DIVOT DR, TEMPE, AZ 85283-4601
(478) 068-7030
Mailing address
5225 CANYON CREST DR # 71649, RIVERSIDE, CA 92507-6301
(951) 796-7460
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLH10363
SOBER LIVING HOME
AZ
Enumeration date
04/11/2022
Last updated
04/25/2022
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