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ZAHRA C. M. PLAGENS

Assisted Living Mental Illness

Peoria, Arizona

Provider NPI: 1164576724

Organization Information:
Organization Name:  ZAHRA C. M. PLAGENS
Organization is not Subpart
Authorized Official:  ZAHRA CHEBET PLAGENS  ADMINISTRATOR  623-8780463

Practice Location:
7445 W CHERYL DR  PEORIA, AZ 85345 US
Tel: 623-878-0463  Fax: --

Business Mailing Address:
7445 W CHERYL DR  PEORIA, AZ 85345 US
Tel: 623-878-0463  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
AZBH2522

Other Provider Identifiers:

IssuerNumberStateType
907305AZ05
STATE LICENSE FOSTER CAREBH2522AZ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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