S-H Opco Peridot, LLC

NPI #1467860593 in Prescott, Arizona

Provider Information

NPI Number
1467860593
Entity Type
Organization
Organization Name
S-H Opco Peridot, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Aug 1, 2014
Last Updated
Aug 1, 2014

Practice Location

Address
211 BRADSHAW DR
State
Arizona
ZIP Code
86303-4405
Phone
(928) 777-5511

Authorized Official

Name
MARK OHLENDORF
Title
CFO
Phone
(414) 918-5000

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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