Organization
LORNA ENTERPRISES,LLC
Active
Other names
Peachtree Assisted Living Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORNA A CONOL (OWNER)
(623) 693-0839
Entity
Organization
Contact information
Practice address
15550 W CAMERON DR, SURPRISE, AZ 85379-1055
(623) 693-0839
Mailing address
15612 W SHANGRI LA RD, SURPRISE, AZ 85379-4795
(623) 693-0839
(623) 234-8655
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7402H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405898
—
AZ
Enumeration date
05/08/2018
Last updated
05/08/2018
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