# ARIZONA SENIOR LIFE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arizona Senior Life LLC DBA Apex transitional housing Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164014197
- **Authorized official:** LEA TALLO (OWNER)
- **Authorized official phone:** (605) 310-1940

## Contact information

- **Practice address:** 2134 E PALM LN, PHOENIX, AZ 85006-2405
- **Practice address phone:** (602) 275-5955
- **Practice address fax:** (480) 659-3825
- **Mailing address:** 2105 W WEATHERBY WAY, CHANDLER, AZ 85286-8443
- **Mailing address phone:** (605) 310-1940
- **Mailing address fax:** (480) 659-3825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/10/2021
- **Last updated:** 02/10/2021