FOOTHILLS ADULT CARE HOME NPI 1588025894

NPI Information

FOOTHILLS ADULT CARE HOME is an assisted living facility in Yuma, 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. FOOTHILLS ADULT CARE HOME NPI is 1588025894. The provider is registered as an organization entity type.

The provider's business location address is:

12447 S SANDRA AVE
YUMA, AZ
ZIP 85367-020
Phone: (928) 305-8888
Fax: (928) 325-0368

The provider's authorized official is Chanh Tran .
The authorized official title is Manger and has the following contact phone number (928) 305-8888.

The CLIA number assigned to this NPI record is 03D2235223 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2016 and was last updated on 3/14/2016.

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:

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