Organization
SURPRISE MC, LLC
Active
Other names
Mosaic Gardens at Surprise
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SPROUL (MANAGER)
(503) 391-9999
Entity
Organization
Contact information
Practice address
16465 N PARKVIEW PL, SURPRISE, AZ 85374-7494
(480) 900-4576
Mailing address
1900 HINES ST SE STE 150, SALEM, OR 97302-1338
(503) 391-9999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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