Organization
RUSSELL HAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL G HAYS (ADMINISTRATOR)
(602) 626-7349
Entity
Organization
Contact information
Practice address
3540 E CAMPO BELLO DR, PHOENIX, AZ 85032-2032
(602) 626-7349
(602) 626-7351
Mailing address
3540 E CAMPO BELLO DR, PHOENIX, AZ 85032-2032
(602) 626-7349
(602) 626-7351
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
BH2775
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866717
—
AZ
01
—
BH2775
AZ STATE LICENSE
AZ
01
—
BH2959
AZ STATE LICENSE
AZ
Enumeration date
01/24/2007
Last updated
08/13/2009
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