Organization
AGAVE CARE HOME OF SCOTTSDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DINA BATA ARGUILLO (OWNER/MEMBER/MANAGER)
(602) 795-6107
Entity
Organization
Contact information
Practice address
4833 E MARCONI AVE, SCOTTSDALE, AZ 85254-1634
(602) 795-6107
(602) 801-3543
Mailing address
4833 E MARCONI AVE, SCOTTSDALE, AZ 85254-1634
(602) 795-6107
(602) 801-3543
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287774
—
AZ
Enumeration date
02/01/2021
Last updated
02/01/2021
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