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Organization

SUSAN'S ADULT CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSAN LORI NERHEIM (OWNER)
(480) 998-7840
Entity
Organization

Contact information

Practice address
6722 E CAMINO DE LOS RANCHOS, SCOTTSDALE, AZ 85254-3908
(480) 998-7840
(480) 219-0464
Mailing address
6722 E CAMINO DE LOS RANCHOS, SCOTTSDALE, AZ 85254-3908
(480) 998-7840
(480) 219-0464

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ALH4544
AZ
311ZA0620X
Adult Care Home Facility
ALH4915
AZ

Other

Enumeration date
03/18/2008
Last updated
03/18/2008
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