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Organization

FRIENDSHIP RETIREMENT CORPORATION

Active
Other names
Glencroft Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN M HORNBOSTEL (VICE PRESIDENT OF FINANCE/CFO)
(623) 847-3006
Entity
Organization

Contact information

Practice address
8641 N 67TH AVE, GLENDALE, AZ 85302-4308
(623) 939-9475
Mailing address
8611 N 67TH AVE, GLENDALE, AZ 85302-4351
(623) 939-9475

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-334
AZ
314000000X
Skilled Nursing Facility
OTC-2874
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
040410
AZ
Enumeration date
10/17/2005
Last updated
07/25/2008
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