MEDICARE: SCHWEICHLER ADULT CARE HOMES, LLC

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1144877911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHWEICHLER ADULT CARE HOMES, LLC

Provider Business Mailing Address
First Line	:	2118 S ROANOKE ST
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-9106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6711 E AKRON ST
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85205-9005
Country	:	US
Telephone Number	:	602-999-6263
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	MICHAEL SCHWEICHLER
Credential	:
Telephone Number	:	602-999-6263

Provider Enumeration Date	:	08/26/2019
Last Update Date	:	08/26/2019

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