Organization Name: | ASSISTED LIVING CONCEPTS INC |
NPI Number: | 1194847814 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WALTER A LEVONOWICH (VICE PRESIDENT AND CONTROLLER) |
Mailing Address: | 675 West Broadway Apache Junction |
State: | AZ US |
Postal Code: | 85220 |
Phone Number: | 4802881791 |
Fax Number: | 4806719660 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | ALC4597 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |