Organization
SERENDIPITY IN THE SUN II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MALLARI MSN, RN, CNL, CHC (ALF MANAGER/ ADMINISTRATOR)
(602) 908-8580
Entity
Organization
Contact information
Practice address
10250 N 124TH ST, SCOTTSDALE, AZ 85259-5201
(602) 859-3256
Mailing address
10250 N 124TH ST, SCOTTSDALE, AZ 85259-5201
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL12323H
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
01/31/2023
Last updated
01/31/2023
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