Organization
ELITE CARE HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E WALLA (MANAGER)
(480) 945-9292
Entity
Organization
Contact information
Practice address
12840 E GOLD DUST AVE, SCOTTSDALE, AZ 85259-5317
(480) 945-9292
(480) 947-2006
Mailing address
16009 N 81ST ST STE 200, SCOTTSDALE, AZ 85260-1843
(480) 945-9292
(480) 947-2006
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7765H
AZ
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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