Organization
ST. CLAIRE SENIOR LIVING
Active
Other names
ISP 4th Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE INIGUEZ (EXECUTIVE ASSISTANT)
(602) 285-0505
Entity
Organization
Contact information
Practice address
3620 N 4TH AVE, PHOENIX, AZ 85013-3907
(602) 285-1800
(602) 285-1838
Mailing address
1201 E THOMAS RD, PHOENIX, AZ 85014-5734
(602) 285-1800
(602) 285-1838
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
AZ
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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