Organization
DESERT SOL ASSISTANT LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TY HILL (OWNER)
(602) 314-4698
Entity
Organization
Contact information
Practice address
530 E ROSE LN, PHOENIX, AZ 85012-1247
(602) 314-4698
(866) 378-8229
Mailing address
530 E ROSE LN, PHOENIX, AZ 85012-1247
(602) 314-4698
(866) 378-8229
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7835H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310400000X
AHCCCS
AZ
Enumeration date
02/02/2011
Last updated
02/02/2011
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