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Organization

DESERT VIEW ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PUICA BEBEC (OWNER)
(602) 841-7669
Entity
Organization

Contact information

Practice address
9407 N 36TH AVE, PHOENIX, AZ 85051-3305
(602) 841-7669
(602) 595-3296
Mailing address
9407 N 36TH AVE, PHOENIX, AZ 85051-3305
(602) 841-7669
(602) 595-3296

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9909
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500901
AZ
Enumeration date
05/11/2016
Last updated
05/11/2016
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