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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