Organization
ADAM'S HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ANN STURGIS (VICE PRESIDENT)
(602) 350-1109
Entity
Organization
Contact information
Practice address
7697 E. NIGHTINGALE STAR LN, PRESCOTT VALLEY, AZ 86315
(602) 350-1109
(928) 772-8308
Mailing address
11825 E MINGUS VISTA DR, PRESCOTT VALLEY, AZ 86315-9717
(602) 350-1109
(928) 772-8308
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ALH1349
LICENSE
AZ
Enumeration date
03/27/2007
Last updated
11/14/2023
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