# AMETHYST MEADOWS SENIOR CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306798558
- **Authorized official:** MR. ANGELO MARCUS ABELLIDO (MANAGER)
- **Authorized official phone:** (480) 599-0284

## Contact information

- **Practice address:** 233 S 123RD DR, AVONDALE, AZ 85323-8043
- **Practice address phone:** (480) 599-0284
- **Mailing address:** 233 S 123RD DR, AVONDALE, AZ 85323-8043
- **Mailing address phone:** (480) 599-0284

## Taxonomy

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

## Other

- **Enumeration date:** 02/11/2026
- **Last updated:** 02/11/2026
