Organization
LIFESTREAM COMPLETE SENIOR LIVING, INC.
Active
Other names
LifeStream Complete Senior Living at Cook Health Care Suite 500 Assist
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA TAYLOR (EXECUTIVE VICE PRESIDENT/COO)
(623) 933-3333
Entity
Organization
Contact information
Practice address
11527 W. PEORIA AVENUE, SUITE 500, YOUNGTOWN, AZ 85363
(623) 972-2371
(623) 972-7320
Mailing address
11555 W. PEORIA AVENUE, YOUNGTOWN, AZ 85363
(623) 933-3333
(623) 972-7320
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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