Organization
CASA DE ANGELES ASSISTED LIVING INC.
Active
Other names
Casa de Angeles Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILIANA LARA (CO-OWNER)
(520) 873-8419
Entity
Organization
Contact information
Practice address
457 N. IRONWOOD CT., PEARCE, AZ 85625
(520) 826-4065
(520) 826-4065
Mailing address
P.O. BOX 726, PEARCE, AZ 85625
(520) 826-4065
(520) 826-4065
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8631H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
682106
—
AZ
Enumeration date
02/10/2012
Last updated
04/11/2022
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