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ARCHIE HENDRICKS SR. SKILLED NURSING FACILITY NPI 1689914103


NPI Information

NPI: 1689914103
Provider Name: ARCHIE HENDRICKS SR. SKILLED NURSING FACILITY

Doing Business As: TOHONO O'ODHAM ELDER ASSISTED LIVING RESIDENCE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
MILEPOST 9, FEDERAL ROUTE 15
SELLS, AZ
ZIP 85634
Phone: (520) 361-1800
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ARCHIE HENDRICKS SR. SKILLED NURSING FACILITY is an assisted living facility in Sells, 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. ARCHIE HENDRICKS SR. SKILLED NURSING FACILITY NPI is 1689914103. The provider is registered as an organization entity type.
The provider Is Doing Business As Tohono O'odham Elder Assisted Living Residence.

The provider's business location address is:

MILEPOST 9, FEDERAL ROUTE 15
SELLS, AZ
ZIP 85634
Phone: (520) 361-1800
Fax: (520) 361-3656

The provider's authorized official is James Chaston .
The authorized official title is Cfo/business Office Manager and has the following contact phone number (520) 361-1804.

The enumeration date for this NPI number is 2/20/2013 and was last updated on 2/20/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

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: 5/5/2024

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