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Organization

SCOTTSDALE ASSISED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HELEN DIKE (MANAGER)
(480) 268-7726
Entity
Organization

Contact information

Practice address
10635 E RISING SUN DR, SCOTTSDALE, AZ 85262-3083
(480) 268-7726
(480) 361-8732
Mailing address
10635 E RISING SUN DR, SCOTTSDALE, AZ 85262-3083
(480) 268-7726
(480) 361-8732

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL788OH
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
399397
AZ
Enumeration date
06/09/2011
Last updated
06/09/2011
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