Organization
AVISTA SCW, LLC
Active
Other names
Avista Sun City West Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE FINE (AUTHORIZED AGENT)
(480) 244-9173
Entity
Organization
Contact information
Practice address
12820 W BEARDSLEY RD, SUN CITY WEST, AZ 85375-3306
(623) 552-2200
(623) 546-5815
Mailing address
1930 N ARBOLEDA STE 215, MESA, AZ 85213-3217
(480) 244-9173
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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