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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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