Organization
PATHWAYS ASSISTED LIVING AND MEMORY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STITELER (OWNER/MANAGER)
(602) 944-1177
Entity
Organization
Contact information
Practice address
4211 N. PEBBLE CREEK PKWY BLDG 2, GOODYEAR, AZ 85395
(602) 633-2300
Mailing address
4211 N. PEBBLE CREEK PKWY BLDG 2, GOODYEAR, AZ 85395
(602) 633-2300
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9373H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024268
—
AZ
Enumeration date
07/18/2015
Last updated
07/18/2015
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