Organization
A HOME FOR CARE LLC
Active
Organization
A HOME FOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEDARDO ALEMAN (MEMBER/ADMINISTRATOR)
(623) 236-3959
Entity
Organization
Contact information
Practice address
25548 W DUNLAP RD, BUCKEYE, AZ 85326-9143
(520) 858-3361
(623) 223-9563
Mailing address
25548 W DUNLAP RD, BUCKEYE, AZ 85326-9143
(520) 858-3361
(623) 223-9563
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9703H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028336
—
AZ
Enumeration date
08/17/2018
Last updated
08/17/2018
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