Organization
DESERT LAKE ASSISTED LIVING HOME
Active
Other names
Steven A. Lazorchak
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ALEXANDER LAZORCHAK MBA (OWNER)
(480) 855-1975
Entity
Organization
Contact information
Practice address
1040 N VILLAS LN, CHANDLER, AZ 85224-9006
(480) 821-0203
(480) 821-0203
Mailing address
4227 W CROCUS DR, PHOENIX, AZ 85053-5316
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH5646
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A195847
ALTCS PROVER NUMBER
AZ
01
—
ALH5646
FACILITY LICENSE
AZ
Enumeration date
06/02/2007
Last updated
08/11/2008
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