Organization
AN ENCHANTED ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN MAGDA (CEO)
(602) 550-6653
Entity
Organization
Contact information
Practice address
15924 W MAUNA LOA LN, SURPRISE, AZ 85379
(602) 550-6653
Mailing address
15924 W MAUNA LOA LN, SURPRISE, AZ 85379-5141
(602) 550-6653
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6985H
AZ
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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