NPI 1720488448

Someone Who Cares in Home Assited Living

Organisation Assisted Living Facility (Behavioral Disturbances) Bullhead City, AZ

Practice location

Address: 2370 Hummingbird Ln, Bullhead City, AZ 86442-7790
Phone: (928) 542-2040

Authorised official

Name: David Wolf
Title: Office Manager
Phone: (928) 542-2040

Registered specialties

Assisted Living Facility (Behavioral Disturbances) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0630X Licence 1700293 (AZ)

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Registry record

NPI: 1720488448
Entity type: Organization
NPI issued: 29 Aug 2014
Record last updated: 29 Aug 2014

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.