Organization
PRATS CARE HOME L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS JESUS PRATS (DIRECTOR)
(602) 568-8400
Entity
Organization
Contact information
Practice address
13401 N 30TH ST, PHOENIX, AZ 85032-6028
(602) 996-6854
Mailing address
3015 E GELDING DR, PHOENIX, AZ 85032-5032
(602) 348-2115
(602) 996-1577
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL1754H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531744
AHCCCS
AZ
Enumeration date
05/08/2015
Last updated
05/08/2015
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