Arizona Residential Care, Llc in Tucson - Community Based Residential Treatment Facility, Mental Illness
Arizona Residential Care, Llc - NPI 1770681926
Arizona Residential Care, Llc is a Community Based Residential Treatment Facility, Mental Illness in Tucson, Arizona. Arizona Residential Care, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Arizona Residential Care, Llc is 1770681926. The last update date is 2020-08-22.
Arizona Residential Care, Llc's current location address is Po Box 77057, Tucson, Arizona. You can contact this provider via phone number 5208821986 and fax number 5208821987. The mailing address for Arizona Residential Care, Llc is Po Box 77057, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Arizona Residential Care, Llc |
|---|---|
| Address | Po Box 77057, Tucson, Arizona |
| Phone Number | 5208821986 |
| Fax Number | 5208821987 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Walker O. Kenneth |
| Telephone Number | 5206645192 |
NPI Number Detail
| NPI Number | 1770681926 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 77057 |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857037057 |
| Phone Number | 5208821986 |
| Fax Number | 5208821987 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | BH2456 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 891467 | AZ | AHCCCS |
Post Comment/ Review Below
What is the unique identification code assigned to Arizona Residential Care, Llc by the Centers for Medicare & Medicaid Services?
The Arizona Residential Care, Llc has been issued the NPI (National Provider Identifier) 1770681926. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Arizona Residential Care, Llc is geographically located?
The Arizona Residential Care, Llc is physically situated at the following location: Po Box 77057, Tucson, AZ, 857037057.
What is the Arizona Residential Care, Llc's area of specialization and corresponding taxonomy classification?
The Arizona Residential Care, Llc's specialty field is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their specialties.
When did the Arizona Residential Care, Llc receive its 1770681926?
The Arizona Residential Care, Llc was issued its 1770681926 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Arizona Residential Care, Llc last refreshed?
The information related to the Arizona Residential Care, Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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