Boulder Gardens Assistant Living, LLC

NPI #1114262292 in Prescott, Arizona

Provider Information

NPI Number
1114262292
Entity Type
Organization
Organization Name
Boulder Gardens Assistant Living, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Nov 30, 2012
Last Updated
Nov 30, 2012

Practice Location

Address
860 DOUGHERTY ST
State
Arizona
ZIP Code
86305-1841
Phone
(928) 778-9667

Authorized Official

Name
MR. CARL ZIMMERMAN
Title
SENIOR VICE PRESIDENT
Phone
(520) 352-3019

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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