Xanadu

NPI 1164663498 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1164663498
Enumeration Date 03/17/2009
Last Updated 03/17/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALEXANDRA ALEXANDRA
Position DIRECTOR
Phone (480) 221-5427
Fax
Practice Location
9030 N 64TH AVE
GLENDALE AZ, 85302-4003, US
Phone (480) 221-5427
Fax
Business Location
9030 N 64TH AVENUE
GLENDALE AZ, 85302, US
Phone (480) 221-5427
Fax
Toxanomy
Taxonomy Code 3104A0625X
License State Arizona
License Number BH3129
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According to our database, Xanadu NPI is 1164663498, taxonomy code is 3104A0625X and license number is BH3129, license state is located at Arizona. Xanadu physically located at 9030 N 64th Ave, Glendale AZ, 85302-4003. NPI Number 1033115704 has the healthcare provider type.

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1164663498 NPI number is provided on an as is basis without warranty of any kind. 1164663498 is maintained by the National Plan & Provider Enumeration System. The contents of Xanadu are for informational purposes only.