# CASA DEL REY ASSISTED LIVING CARE HOME, LLC

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

## Provider details

- **NPI number:** 1871237107
- **Authorized official:** DOINITA DORINA DAWSON OWNER (MANAGER ASSISTED LIVING)
- **Authorized official phone:** (602) 446-8139

## Contact information

- **Practice address:** 22284 N 102ND LN, PEORIA, AZ 85383-2657
- **Practice address phone:** (623) 266-4934
- **Practice address fax:** (623) 271-8325
- **Mailing address:** 22284 N 102ND LN, PEORIA, AZ 85383-2657
- **Mailing address phone:** (623) 266-4934
- **Mailing address fax:** (623) 271-8325

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2022
- **Last updated:** 04/22/2022