Organization
LOYAL CARE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATACHA CLERFOND (CEO)
(484) 522-6922
Entity
Organization
Contact information
Practice address
1338 W LOBO AVE, MESA, AZ 85202-6651
(480) 634-7252
(480) 634-7252
Mailing address
1338 W LOBO AVE, MESA, AZ 85202-6651
(480) 634-7252
(480) 634-7252
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/14/2022
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