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Organization

MJL COMPANIES LLC

Active
Other names
Carver Ranch Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
MARCUS LEWIS (CEO)
(602) 237-7242
Entity
Organization

Contact information

Practice address
11629 S 43RD AVE, LAVEEN, AZ 85339-3245
(602) 237-7242
Mailing address
11629 S 43RD AVE, LAVEEN, AZ 85339-3245
(602) 237-7242

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ALH-6207
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
238800
AZ
Enumeration date
07/31/2009
Last updated
07/31/2009
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