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Organization
BAL-TIP CORP
Active
Organization
BAL-TIP CORP
Active
Other names
Bal-Tip Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
ENID BALLENTINE (OWNER-MANAGER)
(928) 565-3231
Entity
Organization
Contact information
Practice address
3996 N BOWIE RD, GOLDEN VALLEY, AZ 86413-9211
(928) 565-3231
(928) 565-7472
Mailing address
3996 N BOWIE RD, GOLDEN VALLEY, AZ 86413-9211
(928) 565-3231
(928) 565-7472
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ALH5490
AZ
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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