Organization
AUSTIN'S ADULT CARE HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WILLIS AUSTIN NHA, MBA (PRESIDENT)
(602) 488-0922
Entity
Organization
Contact information
Practice address
10818 N 34TH ST, PHOENIX, AZ 85028-3307
(602) 482-8386
(602) 482-8386
Mailing address
12224 N 65TH ST, SCOTTSDALE, AZ 85254-4506
(480) 991-9269
(480) 991-9269
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH - 5070
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
476095
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
08/28/2005
Last updated
08/22/2020
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