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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