# SENIOR LIVING OPTIONS MARYLAND GARDENS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maryland Gardens Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326134107
- **Authorized official:** SEAN MOCKBEE (ADMINISTRATOR)
- **Authorized official phone:** (602) 265-7484

## Contact information

- **Practice address:** 31 W MARYLAND AVE, PHOENIX, AZ 85013-1227
- **Practice address phone:** (602) 265-7484
- **Practice address fax:** (602) 265-0659
- **Mailing address:** 31 W MARYLAND AVE, PHOENIX, AZ 85013-1227
- **Mailing address phone:** (602) 265-7484
- **Mailing address fax:** (602) 265-0659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI-046 | AZ | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 234731 | — | AZ |