Organization
MARIA'S GARDEN CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILFRED SORIANO (DIRECTOR)
(480) 823-9292
Entity
Organization
Contact information
Practice address
3646 W DUNLAP AVE, PHOENIX, AZ 85051-5306
(480) 823-9292
Mailing address
4727 E BELL RD, SUITE 45-508, PHOENIX, AZ 85032-2308
(480) 823-9292
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
AL8908H
AZ
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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