Organization
SHOW LOW ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MAYORAL (ACCOUNTS MANAGER)
(623) 934-5600
Entity
Organization
Contact information
Practice address
965 FULL HOUSE LN, SHOW LOW, AZ 85901-4044
(928) 892-5139
(928) 251-0774
Mailing address
PO BOX 47090, PHOENIX, AZ 85068-7090
(623) 934-5600
(623) 934-5603
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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