Organization
A FAMILY AFFAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD M IONESCU (OWNER/CAREGIVER MANAGER)
(213) 804-7694
Entity
Organization
Contact information
Practice address
15801 N 19TH PL, PHOENIX, AZ 85022-3313
(213) 804-7694
Mailing address
15801 N 19TH PL, PHOENIX, AZ 85022-3313
(213) 804-7694
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL5715H
AZ
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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