Organization
ASSISTED LIVING CONCEPTS INC
Active
Other names
Powell House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER A LEVONOWICH (VICE PRESIDENT AND CONTROLLER)
(414) 908-8800
Entity
Organization
Contact information
Practice address
806 WEST LONGHORN ROAD, PAYSON, AZ 88541
(928) 474-6249
(520) 474-9764
Mailing address
111 W MICHIGAN STREET, 9TH FLOOR, MILWAUKEE, WI 53203
(414) 908-8800
(414) 908-8212
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC1999
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441907
—
AZ
Enumeration date
03/22/2007
Last updated
08/22/2020
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