Five Star Granite Gate, LLC
NPI #1811191943 in Prescott, Arizona
Provider Information
- NPI Number
- 1811191943
- Entity Type
- Organization
- Organization Name
- Five Star Granite Gate, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FIVE STAR GRANITE GATE, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 13, 2007
- Last Updated
- Sep 7, 2011
Practice Location
Authorized Official
- Name
- PAUL HOAGLAND
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (617) 796-8292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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