Organization
SIMON ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRU SIMON (OWNER/ CAREGIVER)
(602) 687-3155
Entity
Organization
Contact information
Practice address
2912 W GLENDALE AVE, PHOENIX, AZ 85051-8433
(602) 687-3155
Mailing address
2912 W GLENDALE AVE, PHOENIX, AZ 85051-8433
(602) 687-3155
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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