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Organization

DIGNIFIED ASSISTED LIVING LLC

Active
Other names
Dignified Assisted Living LLC
Organization subpart
No

Provider details

NPI number
Authorized official
EUNICE WAVOMBA (OWNER)
(480) 286-8102
Entity
Organization

Contact information

Practice address
11818 W WASHINGTON ST, AVONDALE, AZ 85323-1183
(480) 286-8102
Mailing address
11818 W WASHINGTON ST, AVONDALE, AZ 85323-1183
(480) 286-8102

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
11/01/2023
Last updated
11/01/2023
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