ARIZONA FAMILY HEALTH SERVICES LLC

Day Training, Developmentally Disabled Services

Code: 251C00000X

Home Health

Code: 251E00000X

Community/Behavioral Health

Code: 251S00000X

Foster Care Agency

Code: 253J00000X

In Home Supportive Care

Code: 253Z00000X

Clinic/Center — Adult Day Care

Code: 261QA0600X

Assisted Living Facility

Code: 310400000X

Intermediate Care Facility, Intellectual Disabilities

Code: 315P00000X

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320900000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Respite Care

Code: 385H00000X

Respite Care — Respite Care Camp

Code: 385HR2050X

Respite Care — Respite Care, Intellectual and/or Developmental Disabilities, Child

Code: 385HR2060X

Respite Care — Respite Care, Physical Disabilities, Child

Code: 385HR2065X