# DESERT GEM ASSISTED LIVING FACILITY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770125403
- **Authorized official:** MR. DIOSCORO ANGELO TAGLE JR. (OWNER/MANAGER)
- **Authorized official phone:** (480) 208-5137

## Contact information

- **Practice address:** 3236 W. EUGIE AVENUE, PHOENIX, AZ 85029
- **Practice address phone:** (480) 639-3290
- **Practice address fax:** (480) 639-5748
- **Mailing address:** 1734 E. BAHREND DRIVE, PHOENIX, AZ 85024-1205
- **Mailing address phone:** (480) 208-5137
- **Mailing address fax:** (480) 369-5748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2019
- **Last updated:** 10/15/2019