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Organization
VINEYARD ADULT CARE HOME
Active
Organization
VINEYARD ADULT CARE HOME
Active
Other names
SUNRISE ADULT CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELIA LUPAS (ADMINISTRATOR)
(623) 847-1216
Entity
Organization
Contact information
Practice address
4415 W CAROL AVE, GLENDALE, AZ 85302-3814
(623) 847-1216
(623) 847-1216
Mailing address
4415 W CAROL AVE, GLENDALE, AZ 85302-3814
(623) 847-1216
(623) 847-1216
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ALH-6842
AZ
Other
Enumeration date
12/19/2007
Last updated
01/29/2009
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