Organization
VENTANA LAKES
Active
Organization
VENTANA LAKES
Active
Parent organization
VENTANA LAKES - ASSISTED LIVING HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
VENTANA LAKES - ASSISTED LIVING HOME
Authorized official
VIRGINIA POP CPHT MANAGER (OWNER MANAGER)
(623) 376-8411
Entity
Organization
Contact information
Practice address
20067N 110TH LANE, SUN CITY, AZ 85373-3331
(623) 376-8411
(623) 376-8411
Mailing address
20067N 110TH LANE, SUN CITY, AZ 85373-3331
(623) 376-8411
(623) 376-8411
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH2495
AZ
310400000X
Assisted Living Facility
ID539231
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AHCCCSID539231
—
AZ
01
—
ALH2495
LICENSE
AZ
Enumeration date
09/09/2008
Last updated
09/09/2008
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