Organization
VALLEY ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVINIA M CACUCI - SIMIONASI (OWNER)
(623) 248-6577
Entity
Organization
Contact information
Practice address
3122 W CAVEDALE DR, PHOENIX, AZ 85083-8636
(623) 248-6577
Mailing address
3122 W CAVEDALE DR, PHOENIX, AZ 85083-8636
(623) 248-6577
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6027037124
—
AZ
Enumeration date
12/16/2022
Last updated
12/16/2022
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