Organization
PENNINGTON GARDENS SL, LLC
Active
Other names
Pennington Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BAE (VP OF ORG DEVELOPMENT)
(503) 675-3925
Entity
Organization
Contact information
Practice address
977 S PENNINGTON DR, CHANDLER, AZ 85224-5658
(480) 814-9046
(480) 814-9058
Mailing address
560 1ST ST STE 104, LAKE OSWEGO, OR 97034-3273
(503) 675-3925
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295255
—
AZ
Enumeration date
03/22/2022
Last updated
08/24/2023
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