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Organization

412 HOME LLC

Active
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Organization

412 HOME LLC

Active
Other names
Jones Family Care Home
Organization subpart
No

Provider details

NPI number
Authorized official
CHAIM ZIMMERMAN (MANAGER)
(480) 985-9695
Entity
Organization

Contact information

Practice address
412 S 30TH ST, MESA, AZ 85204-3111
(480) 584-5666
(480) 588-5460
Mailing address
412 S 30TH ST, MESA, AZ 85204-3111
(480) 584-5666
(480) 588-5460

Taxonomy

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

Other

Enumeration date
09/05/2023
Last updated
09/05/2023
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