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Ldrkair

Ldrkair is a health care provider in Snowflake, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 395 W Garden Ln, Snowflake, AZ 85937-6218, US
Practice Location Phone928-536-7935
Practice Location Fax928-536-5444
Legal Business NameLDRKAIR
Other Organization NameTHE CARRIAGE HOUSE ON WEST GARDEN LANE
Other Organization Name TypeDoing Business As Name
NPI ?1386971877
Entity TypeOrganization
Enumeration Date ? Nov 4, 2009
Last Update Date ? Nov 4, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ldrkair

SpecialtySpecializationLicenseLicense State
Custodial Care FacilityAdult Care Home ALC-4533Arizona

legacy-id-icon Legacy Provider IDs of Ldrkair

Provider IdIssuer StateIssuer TypeIssuer
28275659ArizonaOtherEVERCARE PROVIDER CAREONE ID
EVC6003704ArizonaOtherEVERCARE PROVIDER SUBSCRIBER ID

official-icon Authorized Official of Ldrkair

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Ldrkair's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Larry Douglas Matyas
Authorized Official Title/PositionOWNER
Authorized Official Phone Number928-536-7935