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Organization

BFB ASSISTED LIVING HOMES, LLC

Active
Other names
Mingus Terrace Assisted Living Home
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LORI MARIE FRUCHEY (MEMBER)
(928) 634-7198
Entity
Organization

Contact information

Practice address
1236 S PIONEER DR, COTTONWOOD, AZ 86326-4772
(928) 649-0275
(928) 649-0276
Mailing address
1001 S 10TH ST, COTTONWOOD, AZ 86326-4428
(928) 634-7198
(928) 634-1635

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-5769
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114608
AZ
Enumeration date
10/05/2006
Last updated
08/22/2020
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