Organization
PEACE OF MIND ADULT CARE HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PHILLIP BERRY (OWNER PRESIDENT)
(480) 668-3621
Entity
Organization
Contact information
Practice address
6512 E PERSHING AVE, SCOTTSDALE, AZ 85254-3937
(480) 668-3621
(480) 668-3619
Mailing address
6512 E PERSHING AVE, SCOTTSDALE, AZ 85254-3937
(480) 668-3621
(480) 668-3619
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-4899
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
910100
ARIZONA PROVIDER NUMBER
AZ
Enumeration date
11/13/2006
Last updated
08/22/2020
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