Healthcare Provider Details

I. General information

NPI: 1437180262
Provider Name (Legal Business Name): AMERICAN RETIREMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 04/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13215 N 94TH DR
PEORIA AZ
85381-4838
US

IV. Provider business mailing address

13215 N 94TH DR
PEORIA AZ
85381-4838
US

V. Phone/Fax

Practice location:
  • Phone: 623-972-1776
  • Fax:
Mailing address:
  • Phone: 623-972-1776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BRYAN RICHARDSON
Title or Position: CFO
Credential:
Phone: 615-221-2250