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Organization

SUPERSTITION MANOR ASSISTED LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUCE BOGUCKI (OWNER MANAGER)
(480) 227-3458
Entity
Organization

Contact information

Practice address
201 W 20TH AVE, APACHE JUNCTION, AZ 85220-7532
(480) 288-9711
(480) 228-8869
Mailing address
201 W 20TH AVE, APACHE JUNCTION, AZ 85120-7532
(480) 288-9711
(480) 288-8869

Taxonomy

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

Other

Enumeration date
11/19/2008
Last updated
10/10/2013
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