Superstition Manor Assisted Living LLC
NPI #1609201128 in Apache Junction, Arizona
Provider Information
- NPI Number
- 1609201128
- Entity Type
- Organization
- Organization Name
- Superstition Manor Assisted Living LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Sep 4, 2013
- Last Updated
- Sep 4, 2013
Practice Location
- Address
- 201 W 20TH AVE
- City
- Apache Junction
- State
- Arizona
- ZIP Code
- 85120-7532
- Phone
- (480) 227-3458
Authorized Official
- Name
- BRUCE BOGUCKI
- Title
- OWNER/MEMBER
- Phone
- (480) 227-3458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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