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HOLBROOK SENIOR CITIZENS ASSOCIATION NPI 1548505357


NPI Information

NPI: 1548505357
Provider Name: HOLBROOK SENIOR CITIZENS ASSOCIATION

Other Name: HOLBROOK SENIOR CITIZENS EXTENDED CARE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
216 JOY NEVIN AVENUE
HOLBROOK, AZ
ZIP 86025
Phone: (928) 524-2344
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HOLBROOK SENIOR CITIZENS ASSOCIATION is an assisted living facility in Holbrook, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. HOLBROOK SENIOR CITIZENS ASSOCIATION NPI is 1548505357. The provider is registered as an organization entity type.
The provider Other Name Is Holbrook Senior Citizens Extended Care.

The provider's business location address is:

216 JOY NEVIN AVENUE
HOLBROOK, AZ
ZIP 86025
Phone: (928) 524-2344
Fax: (928) 524-3603

The provider's authorized official is Lisa Salazar .
The authorized official title is Administrator and has the following contact phone number (928) 524-2344.

The enumeration date for this NPI number is 12/5/2012 and was last updated on 12/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL0054CARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1829731OTHERARIZONAAHCCCS PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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