Phoenix Senior Living LLC

NPI #1154541324 in Youngtown, Arizona

Provider Information

NPI Number
1154541324
Entity Type
Organization
Organization Name
Phoenix Senior Living LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 27, 2007
Last Updated
Jul 23, 2008

Practice Location

Address
12322 N 13TH AVENUE
State
Arizona
ZIP Code
85363
Phone
(623) 583-2460

Authorized Official

Name
JON M HARDER
Title
MANAGER
Phone
(503) 485-8697

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)
Assisted Living Facility

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