Lsref Golden Ops Ue (az), LLC

NPI #1295057339 in Peoria, Arizona

Provider Information

NPI Number: 1295057339
Entity Type: Organization
Organization Name: Lsref Golden Ops Ue (az), LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Feb 16, 2010
Last Updated: Feb 16, 2010

Practice Location

Address: 18170 N 91ST AVE
City: Peoria
State: Arizona
ZIP Code: 85382-0866
Phone: (623) 974-5848

Authorized Official

Name: WICK PETERSON
Title: VP
Phone: (858) 436-7662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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