# PACIFICA SENIOR LIVING PEORIA

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

## Provider details

- **NPI number:** 1992129712
- **Authorized official:** DEEPAK ISRANI (GENERAL MANAGER)
- **Authorized official phone:** (619) 296-9000

## Contact information

- **Practice address:** 9045 W ATHENS ST, PEORIA, AZ 85382-8155
- **Practice address phone:** (623) 876-8300
- **Mailing address:** 1775 HANCOCK ST, SUITE 200, SAN DIEGO, CA 92110-2034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2014
- **Last updated:** 02/13/2014