Organization
ALDCO INVESTMENT #3
Active
Other names
Assisted Living Residences At 51
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KLASCHKA (MANAGING PARTNER C.O.O.)
(602) 265-9813
Entity
Organization
Contact information
Practice address
2935 N 18TH PL, PHOENIX, AZ 85016-7726
(602) 265-9813
Mailing address
2935 N 18TH PL, PHOENIX, AZ 85016-7726
(602) 265-9813
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077927
AHCCCS PROVIDER ID NUMBER
AZ
Enumeration date
05/15/2007
Last updated
08/22/2020
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