Organization
ELDER'S RANCH BY CARLA, LLC
Active
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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