Organization
JOLLEY FAMILY ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAY ESTER JOLLEY-WEBSTER (MANAGER)
(623) 327-0995
Entity
Organization
Contact information
Practice address
20106 W BROADWAY RD, BUCKEYE, AZ 85326-5753
(623) 327-0995
(623) 327-0996
Mailing address
20110 W BROADWAY RD, BUCKEYE, AZ 85326-5753
(623) 386-2201
(623) 386-0189
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH 2643
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529951
—
AZ
Enumeration date
12/06/2006
Last updated
08/22/2020
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