Organization
PRIMAVERA ASSISTED LIVING LLC
Active
Other names
Primavera Assisted Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY ANNE MARIE IBUYAN PADRON (OWNER)
(951) 907-2289
Entity
Organization
Contact information
Practice address
13644 N 33RD AVE, PHOENIX, AZ 85029-1218
(951) 907-2289
Mailing address
13644 N 33RD AVE, PHOENIX, AZ 85029-1218
(951) 907-2289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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