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Organization
DESERT GEM ASSISTED LIVING FACILITY, LLC
Active
Organization
DESERT GEM ASSISTED LIVING FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIOSCORO ANGELO TAGLE JR. (OWNER/MANAGER)
(480) 208-5137
Entity
Organization
Contact information
Practice address
3236 W. EUGIE AVENUE, PHOENIX, AZ 85029
(480) 639-3290
(480) 639-5748
Mailing address
1734 E. BAHREND DRIVE, PHOENIX, AZ 85024-1205
(480) 208-5137
(480) 369-5748
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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