# DIGNITY LIVING CENTERS OF NORTH AMERICA PALO VERDE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIGNITY LIVING CENTERS OF NORTH AMERICA PALO VERDE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437512084
- **Legal business name:** DIGNITY LIVING CENTERS OF NORTH AMERICA PALO VERDE LLC
- **Authorized official:** JULIE ANNA HENDERSHOTT RN (CLINICAL DIRECTOR)
- **Authorized official phone:** (480) 524-3422

## Contact information

- **Practice address:** 4614 W PALO VERDE DR, GLENDALE, AZ 85301-6249
- **Practice address phone:** (623) 934-0094
- **Practice address fax:** (480) 247-5288
- **Mailing address:** 4614 W PALO VERDE DR, GLENDALE, AZ 85301-6249
- **Mailing address phone:** (623) 934-0094
- **Mailing address fax:** (480) 247-5288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | RN153739 | AZ | — |
| 104100000X | Social Worker | RN153739 | AZ | — |
| 163W00000X | Registered Nurse | RN153739 | AZ | — |
| 163WA2000X | Administrator Registered Nurse | RN153739 | AZ | — |
| 163WC0400X | Case Management Registered Nurse | RN153739 | AZ | — |
| 163WG0000X | General Practice Registered Nurse | RN153739 | AZ | Yes |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | RN153739 | AZ | — |
| 163WW0000X | Wound Care Registered Nurse | RN153739 | AZ | — |
| 164W00000X | Licensed Practical Nurse | RN153739 | AZ | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | RN153739 | AZ | — |
| 3747P1801X | Personal Care Attendant | RN153739 | AZ | — |
| 376K00000X | Nurse's Aide | RN153739 | AZ | — |

## Other

- **Enumeration date:** 03/31/2016
- **Last updated:** 03/31/2016