Organization · NPI-2

Avoca Healthcare Group, LLC

Assisted Living Facility · Mesa, AZ

NPI number1467952143

StatusActive

Last updated in NPPESFeb 19, 2018

Details

NPI: 1467952143
Entity type: Organization (NPI-2)
Legal business name: Avoca Healthcare Group, LLC
Organization subpart: No
Enumeration date: Feb 19, 2018
Last updated: Feb 19, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
310400000X	Assisted Living Facility	AL10378H	AZ	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–
2080P0006X	Pediatrics, Developmental - Behavioral Pediatrics	–	–
101Y00000X	Counselor	–	–

Other names

Alott Of Care (Doing Business As)

Practice location

2237 N Avoca
Mesa, AZ 85207-2028

Phone 480-399-8735

Mailing address

2414 W Old Paint Trl
Phoenix, AZ 85086-6608

Phone 480-399-8735

Authorized official

Landis Maez
Director
4803998735

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