Organization
LIFESTREAM COMPLETE SENIOR LIVING INC
Active
Parent organization
LIFESTREAM COMPLETE SENIOR LIVING INC
Other names
LifeStream at Youngtown Green House 1
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESTREAM COMPLETE SENIOR LIVING INC
Authorized official
RONAD EDWARD ESTES (PRESIDENT)
(623) 933-3333
Entity
Organization
Contact information
Practice address
11525 W PEORIA AVE, YOUNGTOWN, AZ 85363-1640
(623) 933-3333
Mailing address
11555 W PEORIA AVE, YOUNGTOWN, AZ 85363-1640
(623) 933-3333
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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