Organization
GOOD HART LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THADDEUS HART (ACCOUNT MANAGER)
(646) 460-0947
Entity
Organization
Contact information
Practice address
5559 N 62ND DR, GLENDALE, AZ 85301-5727
(646) 460-0947
Mailing address
PO BOX 27094, PHOENIX, AZ 85061-7094
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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