# JOLLEY FAMILY ASSISTED LIVING III

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOLLEY FAMILY ASSISTED LIVING, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881043503
- **Legal business name:** JOLLEY FAMILY ASSISTED LIVING, LLC
- **Authorized official:** MRS. FAY JOLLEY-WEBSTER (OWNER)
- **Authorized official phone:** (602) 571-0529

## Contact information

- **Practice address:** 20104 W BROADWAY RD, BUCKEYE, AZ 85326-5753
- **Practice address phone:** (623) 327-9573
- **Practice address fax:** (623) 327-9586
- **Mailing address:** 20110 W BROADWAY RD, BUCKEYE, AZ 85326-5753
- **Mailing address phone:** (623) 386-2201
- **Mailing address fax:** (623) 386-0189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | AL8243H | AZ | Yes |

## Other

- **Enumeration date:** 06/03/2016
- **Last updated:** 06/03/2016