Organization
DOCTOR'S CHOICE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHELLE LYNN HAVILAND RN, BS (VP/ OWNER OPERATOR/ CERTIFIED MNGR)
(602) 326-6114
Entity
Organization
Contact information
Practice address
9101 E BROWN RD, MESA, AZ 85207-4350
(602) 316-6114
(480) 830-6646
Mailing address
6518 E OMEGA ST, MESA, AZ 85215-1052
(602) 316-6114
(480) 830-6646
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7537C
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL7537C
ARIZONA DEPT. OF HEALTH SERVICES ASSISTED LIVING CENTER NUMBER
AZ
Enumeration date
11/23/2010
Last updated
11/23/2010
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