Marys Group Home LLC

NPI #1376320374 in Tolleson, Arizona

Provider Information

NPI Number: 1376320374
Entity Type: Organization
Organization Name: Marys Group Home LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Sep 12, 2023
Last Updated: Sep 12, 2023

Practice Location

Address: 10008 W BLOCH RD
City: Tolleson
State: Arizona
ZIP Code: 85353-4446
Phone: (602) 621-2931

Authorized Official

Name: MAIRELIS ZALDIVAR-SALAZAR
Title: OWNER
Phone: (602) 621-2931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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