Organization
RESCARE RESIDENTIAL SERVICES ARIZONA, LLC
Active
Other names
A Place to Call Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PANK (PARALEGAL)
(502) 420-2666
Entity
Organization
Contact information
Practice address
1200 N EL DORADO PL STE 300, TUCSON, AZ 85715-4679
(480) 456-0549
(480) 456-0553
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/06/2017
Last updated
11/08/2017
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