Organization
HOUSTON CREEK ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MALUCCI (OWNER)
(928) 951-2467
Entity
Organization
Contact information
Practice address
210 S HOUSTON CREEK CIR, STAR VALLEY, AZ 85541-2521
(928) 951-2467
Mailing address
210 S HOUSTON CREEK CIR, STAR VALLEY, AZ 85541-2521
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8468H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555517
—
AZ
Enumeration date
02/28/2015
Last updated
02/28/2015
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