Friendship House-Rvccc
Organization Active NPI Assisted Living Facility · Eagar, AZ
NPI 1467500488 · NPPES record last updated Jun 27, 2008
Key facts
- NPI
- 1467500488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- FRIENDSHIP HOUSE-RVCCC
- Practice address
- 381 E Third Ave
Eagar, AZ 85925 - Phone
- (928) 333-5975
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Darlene J Pulsipher
- Title
- Owner
- Phone
- (928) 333-5975
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AZ | Yes |
Addresses
Primary practice location
381 E Third Ave
Eagar, AZ 85925
Mailing address
PO Box 578
Eagar, AZ 85925-0578
Phone (928) 333-5975
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002639969 | Medicaid | AZ |
Other providers in Eagar, AZ
- Natalie Sue Cordova
- Eagar Family Chiropractic, LLC
- Kevin M Eagar
- Ez Counseling
- Glenn Micah Finch
- Eileen T Furman
- Reece Kirby Hadlock
- Scott R Hamblin
- Kayle L Haws
- James Heap
All providers in Eagar, AZ · Assisted Living Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.