Organization
BROOKHAVEN ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLE BRADLEY SKELTON (OWNER)
(408) 393-2002
Entity
Organization
Contact information
Practice address
15358 W POST CIR, SURPRISE, AZ 85374-1422
(408) 393-2002
Mailing address
572 W BONO BLVD, SARATOGA SPRINGS, UT 84045-3113
(408) 373-9465
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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