Organization
LOVING MOTHER RESIDENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIZARDE TORNO ESTRELLA (STATUTORY AGENT/OWNER)
(667) 231-9713
Entity
Organization
Contact information
Practice address
629 N ENTRADA ST, CHANDLER, AZ 85226-2204
(480) 702-0037
(480) 702-0037
Mailing address
629 N ENTRADA ST, CHANDLER, AZ 85226-2204
(667) 231-9713
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
08/18/2023
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