Organization
AVONDALE ASSISTED LIVING HOME
Active
Organization
AVONDALE ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MA TERESITA PATINO ISIDERIO (ADMINISTRATOR)
(480) 343-8045
Entity
Organization
Contact information
Practice address
13514 W MONTEREY WAY, AVONDALE, AZ 85392-6792
(480) 343-8045
Mailing address
13514 W MONTEREY WAY, AVONDALE, AZ 85392-6792
(480) 343-8045
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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