<Unavail>

LBN: Vicky'S Loving Home
<Unavail> is an health care organization with primary practice located at 3433 W Malapai Dr , Phoenix AZ 85051-1240. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Vicky'S Loving Home can be contacted via phone (602) 216-9638, or through Whitehat, Victoria Q via phone (602) 216-9638.

Contact Information

Primary practice address
3433 W Malapai Dr Phoenix AZ 85051-1240
Phone: (602) 216-9638
Fax: (602) 938-0156
Website:
Map and Directions
Authorized official contact:
Name: Whitehat, Victoria Q
Phone: (602) 216-9638

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL7043H Arizona

Profile Details

NPI number 1295095461
LBN Legal business name Vicky'S Loving Home
DBA Doing business as <Unavail>
Authorized official Whitehat, Victoria Q
Entity Organization
Organization subpart 1 Yes
Enumeration date May 22nd, 2012
Last updated May 22nd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295095461 NPPES
Arizona MEDICAID 347332

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