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MAC BUSINESS MANAGEMENT INC. NPI 1174844773


NPI Information

NPI: 1174844773
Provider Name: MAC BUSINESS MANAGEMENT, INC.

Doing Business As: ARIZONA DESERT FALLS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 03D2000333

Address:
2802 E JUNIPER AVE
PHOENIX, AZ
ZIP 85032
Phone: (480) 307-6161
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MAC BUSINESS MANAGEMENT, INC. is an assisted living facility in Phoenix, 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. MAC BUSINESS MANAGEMENT, INC. NPI is 1174844773. The provider is registered as an organization entity type.
The provider Is Doing Business As Arizona Desert Falls.

The provider's business location address is:

2802 E JUNIPER AVE
PHOENIX, AZ
ZIP 85032-611
Phone: (480) 307-6161

The provider's authorized official is Mark C Mckirahan .
The authorized official title is Secretary/treasurer and has the following contact phone number (480) 307-6161.

The CLIA number assigned to this NPI record is 03D2000333 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2010 and was last updated on 6/17/2010.


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 FacilityALC-7191ARIZONAYes

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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