Organization
ASSISTED LIVING OF THE VALLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ODISHOO (OWNER)
(623) 792-7930
Entity
Organization
Contact information
Practice address
2114 S 118TH AVE, AVONDALE, AZ 85323-7643
(623) 792-7930
(623) 777-1683
Mailing address
2114 S 118TH AVE, AVONDALE, AZ 85323-7643
(623) 792-7930
(623) 777-1683
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10626H
AZ
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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