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Organization

VINEYARD ADULT CARE HOME

Active
Other names
SUNRISE ADULT CARE HOME
Organization subpart
No

Provider details

NPI number
Authorized official
CORNELIA LUPAS (ADMINISTRATOR)
(623) 847-1216
Entity
Organization

Contact information

Practice address
4415 W CAROL AVE, GLENDALE, AZ 85302-3814
(623) 847-1216
(623) 847-1216
Mailing address
4415 W CAROL AVE, GLENDALE, AZ 85302-3814
(623) 847-1216
(623) 847-1216

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ALH-6842
AZ

Other

Enumeration date
12/19/2007
Last updated
01/29/2009
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