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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