Organization
WINDSOR MARYLAND GARDENS, LLC
Active
Other names
Maryland Gardens Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN MOCKBEE (EXECUTIVE DIRECTOR)
(602) 265-7484
Entity
Organization
Contact information
Practice address
31 W MARYLAND AVE, PHOENIX, AZ 85013-1227
(602) 265-7484
(602) 279-6030
Mailing address
31 W MARYLAND AVE, PHOENIX, AZ 85013-1227
(602) 265-7484
(602) 279-6030
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
AL8829C
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768633
—
AZ
Enumeration date
01/14/2013
Last updated
01/14/2013
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