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NPI Code Detail

MEDICARE: ASSISTED RECOVERY CENTER OF ARIZONA

MEDICARE: ASSISTED RECOVERY CENTER OF ARIZONA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare AgencyBH 2620AZ

General Provider Information

NPI Number : 1073717625
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSISTED RECOVERY CENTER OF ARIZONA
Provider Business Mailing Address
First Line : 1000 E INDIAN SCHOOL RD
Second Line : #B
City : PHOENIX
State : AZ
Zip : 85014-4810
Country : US
Telephone Number : 602-264-7897
Fax Number : 602-264-7403
Provider Business Practice Location Address
First Line : 1000 E INDIAN SCHOOL RD
Second Line : #B
City : PHOENIX
State : AZ
Zip : 85014-4810
Country : US
Telephone Number : 602-264-7897
Fax Number : 602-264-7403
Authorized Official
Title or Position : DIRECTOR
Name : MR. LLOYD R VACOVSKY
Credential :
Telephone Number : 602-264-7897
Provider Enumeration Date : 06/14/2007
Last Update Date : 08/08/2007

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Directions to “ASSISTED RECOVERY CENTER OF ARIZONA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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