Organization
MRSC AZ APACHE JUNCTION MASTER TENANT, LLC
Active
Organization
MRSC AZ APACHE JUNCTION MASTER TENANT, LLC
Active
Other names
Visions Senior Living at Apache Junction 1
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LANGENDOEN (CO-MANAGER)
(626) 796-8700
Entity
Organization
Contact information
Practice address
1510 E BROADWAY AVE BLDG 1, APACHE JUNCTION, AZ 85119-5301
(480) 671-1490
Mailing address
1510 E BROADWAY AVE BLDG 1, APACHE JUNCTION, AZ 85119-5301
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10066C
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149348
—
AZ
05
—
149438
—
AZ
Enumeration date
08/04/2016
Last updated
02/05/2025
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