Organization
PEPPERTREE QUILT, LLC
Active
Other names
Peppertree Square Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J WITT (MANAGER)
(505) 797-8735
Entity
Organization
Contact information
Practice address
10420 N 89TH AVE, PEORIA, AZ 85345-6453
(623) 878-5115
Mailing address
5353 WYOMING BLVD NE, SUITE A, ALBUQUERQUE, NM 87109-3132
(505) 797-8735
(505) 797-9003
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL4725C
AZ
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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