Ldrkair is a health care provider in Snowflake, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||395 W Garden Ln, Snowflake, AZ 85937-6218, US|
|Practice Location Phone||928-536-7935|
|Practice Location Fax||928-536-5444|
|Legal Business Name||LDRKAIR|
|Other Organization Name||THE CARRIAGE HOUSE ON WEST GARDEN LANE|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Nov 4, 2009|
|Last Update Date ?||Nov 4, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Custodial Care Facility||Nursing & Custodial Care Facilities||Adult Care Home||ALC-4533||Arizona|
|Provider Id||Issuer State||Issuer Type||Issuer|
|28275659||Arizona||Other||EVERCARE PROVIDER CAREONE ID|
|EVC6003704||Arizona||Other||EVERCARE PROVIDER SUBSCRIBER ID|
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/Position||OWNER|
|Authorized Official Phone Number||928-536-7935|