# AT SUGI'S ASSISTED LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** At Sugi's Assisted Living LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194557512
- **Authorized official:** MISS SUZANNE GISELLE CALDERON (CARE GIVER)
- **Authorized official phone:** (602) 348-4980

## Contact information

- **Practice address:** 12241 W OCOTILLO LN, EL MIRAGE, AZ 85335-6911
- **Practice address phone:** (602) 348-4980
- **Practice address fax:** (602) 853-4010
- **Mailing address:** 12241 W OCOTILLO LN, EL MIRAGE, AZ 85335-6911
- **Mailing address phone:** (602) 348-4980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2024
- **Last updated:** 08/14/2024