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Organization

SOMEONE WHO CARES IN HOME ASSITED LIVING

Active
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Organization

SOMEONE WHO CARES IN HOME ASSITED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID WOLF (OFFICE MANAGER)
(928) 542-2040
Entity
Organization

Contact information

Practice address
2370 HUMMINGBIRD LN, BULLHEAD CITY, AZ 86442-7790
(928) 542-2040
Mailing address
2370 HUMMINGBIRD LN, BULLHEAD CITY, AZ 86442-7790

Taxonomy

Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
1700293
AZ

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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