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NPI Code Detail

MEDICARE: BENEFICIAL LIVING SYSTEMS

MEDICARE: BENEFICIAL LIVING SYSTEMS
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 Facility0142CO

Other Identifiers

General Provider Information

NPI Number : 1659427482
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENEFICIAL LIVING SYSTEMS
Provider Business Mailing Address
First Line : 3519 E SHEA BLVD
Second Line : SUITE 133
City : PHOENIX
State : AZ
Zip : 85028-3358
Country : US
Telephone Number : 602-368-8203
Fax Number : 602-368-8211
Provider Business Practice Location Address
First Line : 2612 W CUCHARRAS ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-3031
Country : US
Telephone Number : 719-632-7474
Fax Number : 719-632-6587
Authorized Official
Title or Position : FINANCE MANAGER
Name : MS. TRACY M FISH
Credential :
Telephone Number : 602-368-8203
Provider Enumeration Date : 01/26/2007
Last Update Date : 08/22/2020

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Directions to “BENEFICIAL LIVING SYSTEMS ” Practice Location

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