Vineyard Adult Care Home

NPI 1164606620 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1164606620
Enumeration Date 12/19/2007
Last Updated 01/29/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CORNELIA CORNELIA
Position ADMINISTRATOR
Phone (623) 847-1216
Fax (623) 847-1216
Practice Location
4415 W CAROL AVE
GLENDALE AZ, 85302-3814, US
Phone (623) 847-1216
Fax (623) 847-1216
Business Location
4415 W CAROL AVE
GLENDALE AZ, 85302-3814, US
Phone (623) 847-1216
Fax (623) 847-1216
Toxanomy
Taxonomy Code 311ZA0620X
License State Arizona
License Number ALH-6842
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According to our database, Vineyard Adult Care Home NPI is 1164606620, taxonomy code is 311ZA0620X and license number is ALH-6842, license state is located at Arizona. Vineyard Adult Care Home physically located at 4415 W Carol Ave, Glendale AZ, 85302-3814. NPI Number 1033115704 has the healthcare provider type.

1164606620 NPI number is provided on an as is basis without warranty of any kind. 1164606620 is maintained by the National Plan & Provider Enumeration System. The contents of Vineyard Adult Care Home are for informational purposes only.