Organization
PACIFICA SL PHOENIX LLC
Active
Organization
PACIFICA SL PHOENIX LLC
Active
Other names
The Woodmark at Sun City
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (GENERAL MANAGER)
(623) 404-4047
Entity
Organization
Contact information
Practice address
17207 NORTH BOSWELL BOULEVARD, SUN CITY, AZ 85373
(623) 404-4047
(623) 583-7433
Mailing address
1775 HANCOCK STREET, SUITE 200, SAN DIEGO, CA 92110
(619) 296-9000
(619) 296-9090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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