Superstition Manor Assisted Living LLC

NPI #1114172053 in Apache Junction, Arizona

Provider Information

NPI Number
1114172053
Entity Type
Organization
Organization Name
Superstition Manor Assisted Living LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Nov 19, 2008
Last Updated
Oct 10, 2013

Practice Location

Address
201 W 20TH AVE
State
Arizona
ZIP Code
85220-7532
Phone
(480) 288-9711

Authorized Official

Name
MR. BRUCE BOGUCKI
Title
OWNER MANAGER
Phone
(480) 227-3458

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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