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NPI Code Detail

MEDICARE: ARIZONA RETIREMENT CENTERS, INC.

MEDICARE: ARIZONA RETIREMENT CENTERS, INC.
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
1314000000XSkilled Nursing FacilityNCI-418AZ

General Provider Information

NPI Number : 1518940550
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA RETIREMENT CENTERS, INC.
Provider Business Mailing Address
First Line : 17300 N 88TH AVE
Second Line :
City : PEORIA
State : AZ
Zip : 85382-3501
Country : US
Telephone Number : 623-972-0212
Fax Number : 623-977-5512
Provider Business Practice Location Address
First Line : 17300 N 88TH AVE
Second Line :
City : PEORIA
State : AZ
Zip : 85382-3501
Country : US
Telephone Number : 623-972-0212
Fax Number : 623-977-5512
Authorized Official
Title or Position : PRESIDENT OF THE BOARD OF DIRECTORS
Name : MS. KATHLEEN CROWLEY
Credential :
Telephone Number : 623-972-0212
Provider Enumeration Date : 11/23/2005
Last Update Date : 06/28/2011

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