Organization
LITCHFIELD TERRACE ASSISTED LIVING HOME
Active
Other names
LITCHFIELD TERRACE ASSISTED LIVING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SUPRIEN (MANAGER)
(702) 292-9169
Entity
Organization
Contact information
Practice address
13850 W BLOSSOM WAY, LITCHFIELD PARK, AZ 85340-4261
(623) 248-0542
(623) 248-0542
Mailing address
13850 W BLOSSOM WAY, LITCHFIELD PARK, AZ 85340-4261
(623) 248-0542
(623) 248-0542
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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