Provider Demographics
NPI:1437299880
Name:ADULT RESIDENTIAL CARE SERVICES, INC.
Entity Type:Organization
Organization Name:ADULT RESIDENTIAL CARE SERVICES, INC.
Other - Org Name:THE MARGARET T. MORRIS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-771-2335
Mailing Address - Street 1:844 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-1824
Mailing Address - Country:US
Mailing Address - Phone:928-771-2335
Mailing Address - Fax:
Practice Address - Street 1:878 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-1824
Practice Address - Country:US
Practice Address - Phone:928-445-6633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZALC-2168311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZALC-2168OtherSTATE LICENSE