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Organization

MJL COMPANIES

Active
Other names
Carver Ranch
Organization subpart
No

Provider details

NPI number
Authorized official
MARCUS LEWIS (PRESIDENT)
(602) 237-7242
Entity
Organization

Contact information

Practice address
11629 S 43RD AVE, LAVEEN, AZ 85339-3245
(602) 237-7242
Mailing address
11629 S 43RD AVE, LAVEEN, AZ 85339-3245
(602) 237-7242

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
238800
AZ
Enumeration date
03/12/2008
Last updated
07/21/2022
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