Slo Austin House, LLC
NPI #1366741225 in Cottonwood, Arizona
Provider Information
- NPI Number
- 1366741225
- Entity Type
- Organization
- Organization Name
- Slo Austin House, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 17, 2011
- Last Updated
- Mar 17, 2011
Practice Location
- Address
- 195 S WILLARD ST
- City
- Cottonwood
- State
- Arizona
- ZIP Code
- 86326-4123
- Phone
- (928) 634-4278
Authorized Official
- Name
- JANYA RICCA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (928) 634-4278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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