Organization
AZ CAMELBACK BUSINESS LLC
Active
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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