Organization
MONTELENA ASSISTED LIVING AND MEMORY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY GARRARD (MANAGER)
(480) 278-1882
Entity
Organization
Contact information
Practice address
20174 E SONOQUI BLVD, QUEEN CREEK, AZ 85142-6290
(480) 278-1882
Mailing address
20174 E SONOQUI BLVD, QUEEN CREEK, AZ 85142-6290
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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