Twilight Haven III

NPI #1821355215 in Avondale, Arizona

Provider Information

NPI Number: 1821355215
Entity Type: Organization
Organization Name: Twilight Haven III
Subpart: Yes (part of a larger organization)
Parent Organization: TWILIGHT HAVEN - ASSISTED LIVING HOME
Primary Specialty: Adult Companion
Enumeration Date: Apr 23, 2012
Last Updated: Apr 23, 2012

Practice Location

Address: 233 S. 123RD DR.
City: Avondale
State: Arizona
ZIP Code: 85323-8043
Phone: (623) 234-4034

Authorized Official

Name: MRS. JUSTYNA J CHATKOWSKI
Title: CAREGIVER
Phone: (602) 819-4951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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