# NORTH BEVERLY ASSISTED LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** N BEVERLY ASSISTED LIVING LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851152136
- **Authorized official:** MA THERESA D ROGERS (OWNER)
- **Authorized official phone:** (480) 280-6535

## Contact information

- **Practice address:** 16237 N 35TH DR, PHOENIX, AZ 85053-2916
- **Practice address phone:** (480) 280-6535
- **Mailing address:** 9125 N 55TH AVE, GLENDALE, AZ 85302-3203
- **Mailing address phone:** (480) 280-6535

## Taxonomy

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

## Other

- **Enumeration date:** 01/23/2024
- **Last updated:** 01/23/2024