NPI 1528384120
Mary's Care Home
Practice location
- Address
- 9288 N Lost Sage Dr 8746 Stockon Hill Rd #17, Kingman, AZ 86409-9359
- Phone
- (928) 692-6721
- Fax
- (928) 692-5408
- Mailing address
- 9288 N Lost Sage Dr 8746 Stockton Hill Rd #17, Kingman, AZ 86409-9359
Authorised official
- Name
- Mary Ann Calkims
- Title
- Owner
- Phone
- (928) 692-6721
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1528384120
- Entity type
- Organization
- NPI issued
- 8 Apr 2010
- Record last updated
- 8 Apr 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.