Organization
PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME
Active
Other names
Phoenix Jewish Community Kivel Nursing Home, Kivel Manor Assisted Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRA SHULMAN (CEO)
(602) 443-8020
Entity
Organization
Contact information
Practice address
3040 N 36TH ST, KIVEL MANOR ASSISTED LIVING, PHOENIX, AZ 85018
(602) 443-8020
(602) 957-9493
Mailing address
3040 N 36TH ST, KIVEL MANOR ASSISTED LIVING, PHOENIX, AZ 85018
(602) 443-8020
(602) 957-9493
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC-5831
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121592
—
AZ
Enumeration date
07/27/2006
Last updated
09/29/2021
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