Organization
AZ ADVANCED CARE LLC
Active
Other names
West Lane Home
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA T. SIDDIQUI (ADMINISTRATOR)
(602) 332-0780
Entity
Organization
Contact information
Practice address
3137 W LANE AVE, PHOENIX, AZ 85051-6522
(602) 332-0780
(877) 517-2224
Mailing address
3137 W LANE AVE, PHOENIX, AZ 85051-6522
(602) 332-0780
(877) 517-2224
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL9510H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
963085
—
AZ
Enumeration date
04/02/2015
Last updated
04/02/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us