Goldmine Assisted Living Home Jv LLC
NPI #1396582557 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1396582557
- Entity Type
- Organization
- Organization Name
- Goldmine Assisted Living Home Jv LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 13, 2024
- Last Updated
- Aug 13, 2024
Practice Location
- Address
- 2785 W GOLDMINE MOUNTAIN DR
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85144-4752
- Phone
- (602) 487-8998
Authorized Official
- Name
- JAMES VERDIEU, LICENCE MANAGER
- Title
- MANAGER
- Phone
- (602) 487-8998
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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