Organization
AUSTIN'S ADULT CARE HOMES, INC.
Active
Organization
AUSTIN'S ADULT CARE HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WILLIS AUSTIN NHA, MBA (PRESIDENT)
(602) 488-0922
Entity
Organization
Contact information
Practice address
10624 N 25TH ST, PHOENIX, AZ 85028-2502
(602) 482-9579
(602) 482-9579
Mailing address
12224 N 65TH ST, SCOTTSDALE, AZ 85254-4506
(480) 991-9269
(480) 991-9269
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-5071
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
476425
AHCCCS PROVIDER
AZ
Enumeration date
08/19/2005
Last updated
08/22/2020
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