# THE SERVANT GROUP LLC

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

## Provider details

- **NPI number:** 1740807270
- **Authorized official:** DR. STEPHANIE BELTON EDD (CEO)
- **Authorized official phone:** (623) 440-2682

## Contact information

- **Practice address:** 15278 W BELL RD, SURPRISE, AZ 85374-3100
- **Practice address phone:** (623) 440-2681
- **Practice address fax:** (623) 440-4352
- **Mailing address:** PO BOX 8131, SURPRISE, AZ 85374-0118
- **Mailing address phone:** (623) 440-2681
- **Mailing address fax:** (623) 440-4352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 3140N1450X | Pediatric Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/30/2020
- **Last updated:** 05/16/2024
