Organization
ELMER PLACE FOR PARENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMER NABONG DELA CRUZ (OWNER)
(623) 337-4753
Entity
Organization
Contact information
Practice address
25968 N.SANDSTONE WAY, SURPRISE, AZ 85387
(623) 337-4753
(623) 374-6187
Mailing address
25968 N SANDSTONE WAY, SURPRISE, AZ 85387-6837
(623) 337-4753
(623) 374-6187
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10437H
AZ
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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