Provider Demographics
NPI:1073716841
Name:ALL CARE ADULT CARE
Entity Type:Organization
Organization Name:ALL CARE ADULT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARION
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:MGR
Authorized Official - Phone:602-494-2575
Mailing Address - Street 1:15433 N 45TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-4259
Mailing Address - Country:US
Mailing Address - Phone:602-494-2575
Mailing Address - Fax:602-314-4222
Practice Address - Street 1:15433 N 45TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-4259
Practice Address - Country:US
Practice Address - Phone:602-494-2575
Practice Address - Fax:602-314-4222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZALH-5135310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility