Organization
ESTANCIA ASSISTED LIVING AT DANA PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON GODFREY (CEO)
(928) 243-3647
Entity
Organization
Contact information
Practice address
4221 E HOLMES CIR, MESA, AZ 85206-3321
(480) 561-5590
Mailing address
16543 E ELGIN ST, GILBERT, AZ 85295-2003
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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