Organization
ELDER CARE GERIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNA H ARNOLD (ADMINISTRATOR)
(480) 969-1197
Entity
Organization
Contact information
Practice address
1 N MACDONALD, SUITE 13, MESA, AZ 85201-7339
(480) 969-1197
(480) 835-8809
Mailing address
1 N MACDONALD, SUITE 13, MESA, AZ 85201-7339
(480) 969-1197
(480) 835-8809
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
779944
ARIZONA AHCCESS
AZ
Enumeration date
06/03/2007
Last updated
08/22/2020
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