Organization Name: | THE BEATITUDES CAMPUS |
NPI Number: | 1508856089 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAMMY CLEVENGER (CONTROLLER) |
Mailing Address: | 1616 W Glendale Ave Phoenix |
State: | AZ US |
Postal Code: | 850218948 |
Phone Number: | 6029952611 |
Fax Number: | 6029956127 |
NPI Enumeration Date: | 10/25/2005 |
NPI Last Update Date: | 11/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | ALC-4281 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |