Valley Of The Sun Assisted Living Home- East Llc

NPI 1891060638 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1891060638
Enumeration Date 03/13/2012
Last Updated 03/13/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MIRNES MIRNES
Position OWNER
Phone (480) 720-4591
Fax
Practice Location
2018 E WAGONER RD
PHOENIX AZ, 85022-1433, US
Phone (480) 720-4591
Fax
Business Location
2018 E WAGONER RD
PHOENIX AZ, 85022-1433, US
Phone (480) 720-4591
Fax (602) 788-2245
Toxanomy
Taxonomy Code 311ZA0620X
License State Arizona
License Number AL8565H
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According to our database, Valley Of The Sun Assisted Living Home- East Llc NPI is 1891060638, taxonomy code is 311ZA0620X and license number is AL8565H, license state is located at Arizona. Valley Of The Sun Assisted Living Home- East Llc physically located at 2018 E Wagoner Rd, Phoenix AZ, 85022-1433. NPI Number 1033115704 has the healthcare provider type.

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1891060638 NPI number is provided on an as is basis without warranty of any kind. 1891060638 is maintained by the National Plan & Provider Enumeration System. The contents of Valley Of The Sun Assisted Living Home- East Llc are for informational purposes only.