Organization
PINETOP SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KENNEDY (MANAGER)
(928) 532-4600
Entity
Organization
Contact information
Practice address
5408 HIGHWAY 260 BLDG 15408, LAKESIDE, AZ 85929-5791
(928) 532-4600
Mailing address
5408 HIGHWAY 260 BLDG 15408, LAKESIDE, AZ 85929-5791
(928) 532-4600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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