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Organization
THE HARBOR LIGHTHOUSE CARE HOME II
Active
Organization
THE HARBOR LIGHTHOUSE CARE HOME II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICOLAE LUCIAN NEGREA (OWNER)
(602) 334-1114
Entity
Organization
Contact information
Practice address
4142 W GROVERS AVE, GLENDALE, AZ 85308-2926
(602) 334-1114
(623) 773-9464
Mailing address
4142 W GROVERS AVE, GLENDALE, AZ 85308-2926
(602) 334-1114
(623) 773-9464
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ALH-5179
AZ
Other
Enumeration date
10/04/2005
Last updated
10/06/2008
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