Organization
DESERT LAKE ASSISTED LIVING HOME
Active
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
Update your record
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