Organization
ELDER'S RANCH BY CARLA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA LOCKHART NURSE PRACTITIONER (ASSISTED LIVING MANAGER)
(602) 686-0051
Entity
Organization
Contact information
Practice address
16802 N 43RD ST, PHOENIX, AZ 85032-3324
(602) 404-4330
(602) 494-5209
Mailing address
18163 W PUEBLO AVE, GOODYEAR, AZ 85338-2042
(602) 686-0051
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/24/2022
Last updated
04/29/2022
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