# TWILIGHT HAVEN III

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TWILIGHT HAVEN - ASSISTED LIVING HOME
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821355215
- **Legal business name:** TWILIGHT HAVEN - ASSISTED LIVING HOME
- **Authorized official:** MRS. JUSTYNA J CHATKOWSKI (CAREGIVER)
- **Authorized official phone:** (602) 819-4951

## Contact information

- **Practice address:** 233 S. 123RD DR., AVONDALE, AZ 85323-8043
- **Practice address phone:** (623) 234-4034
- **Practice address fax:** (623) 234-4525
- **Mailing address:** 233 S. 123RD DR., AVONDALE, AZ 85323-8043
- **Mailing address phone:** (623) 234-4034
- **Mailing address fax:** (623) 234-4525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | AL85714 | AZ | Yes |

## Other

- **Enumeration date:** 04/23/2012
- **Last updated:** 04/23/2012