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CACTUS WREN ASSISTED HOME CARE LLC

Nursing Yellow Pages

Phoenix, Arizona

Provider NPI: 1518038520

Organization Information:
Organization Name:  CACTUS WREN ASSISTED HOME CARE LLC


Practice Location:
6313 N 40TH DRIVE  PHOENIX, AZ 85019 US
Tel: 602-741-5523  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
AZALH-5818
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
AZALH-5184

Other Provider Identifiers:

IssuerNumberStateType
943771AZ05
113906AZ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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