Organization
AZ CAMELBACK BUSINESS LLC
Active
Other names
Everlasting Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN BADDING (OWNER)
(602) 388-1749
Entity
Organization
Contact information
Practice address
2320 E BASELINE RD, STE. 148-469, PHOENIX, AZ 85042-6951
(602) 388-1749
Mailing address
2320 E BASELINE RD, STE. 148-469, PHOENIX, AZ 85042-6951
(602) 388-1749
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-6411
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272045
AHCCCS
AZ
Enumeration date
08/20/2009
Last updated
08/20/2009
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