Organization
ASCENDTIAL LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIA SOLOMON (OWNER)
(330) 815-1667
Entity
Organization
Contact information
Practice address
7244 W WILLIAMS ST, PHOENIX, AZ 85043
(330) 815-1667
Mailing address
7244 W WILLIAMS ST, PHOENIX, AZ 85043-7812
(330) 815-1667
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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