Organization
EVELYN STANSBARGER
Active
Organization
EVELYN STANSBARGER
Active
Other names
Golden Years Care Home, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN STANSBARGER (SINGLE MEMBER)
(480) 612-1955
Entity
Organization
Contact information
Practice address
5632 E FAIRBROOK ST, MESA, AZ 85205-5571
(480) 612-1955
(480) 924-3168
Mailing address
6524 E ODESSA ST, MESA, AZ 85215-1060
(480) 612-1955
(480) 924-3168
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH5964
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ALH5964
ASSISTED GROUP HOME
AZ
Enumeration date
05/22/2007
Last updated
08/22/2020
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