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NPI Code Detail

MEDICARE: ALDCO INVESTMENT #6 LLC

MEDICARE: ALDCO INVESTMENT #6 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
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1548476799
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALDCO INVESTMENT #6 LLC
Provider Business Mailing Address
First Line : 2932 N 14TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5601
Country : US
Telephone Number : 602-277-5311
Fax Number : 602-277-5625
Provider Business Practice Location Address
First Line : 2932 N 14TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5601
Country : US
Telephone Number : 602-277-5311
Fax Number : 602-277-5625
Authorized Official
Title or Position : MANAGING PARTNER C.O.O.
Name : SCOTT KLASCHKA
Credential :
Telephone Number : 602-277-5311
Provider Enumeration Date : 05/15/2007
Last Update Date : 08/22/2020

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Directions to “ALDCO INVESTMENT #6 LLC ” Practice Location

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