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ARIZONA TRAINING PROGRAM - EARLL

Intermediate Care Facility, Mentally Retarded

Phoenix, Arizona

Provider NPI: 1306001052

Organization Information:
Organization Name:  ARIZONA TRAINING PROGRAM - EARLL


Practice Location:
3043 N 37TH STREET  PHOENIX, AZ 85018 US
Tel: 602-224-9986  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
AZ

Other Provider Identifiers:

IssuerNumberStateType
040030AZ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED NURSING JOBS AZ - Page 1



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