Friendship House-Rvccc

Primary specialty

Assisted Living FacilityTaxonomy code 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

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Darlene J Pulsipher

Title

Owner

Phone

(928) 333-5975

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1467500488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "EAGAR",
            "state": "AZ",
            "postal_code": "859250578",
            "telephone_number": "928-333-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 E THIRD AVE",
            "city": "EAGAR",
            "state": "AZ",
            "postal_code": "85925",
            "telephone_number": "928-333-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP HOUSE-RVCCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "PULSIPHER",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-333-5975"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Eagar, AZ
• Providers in Eagar, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.