Organization
LEGACY COMFORT HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDEREYA BIBUTSUHOZE (MANAGER)
(509) 228-2735
Entity
Organization
Contact information
Practice address
12802 N 57TH ST, SCOTTSDALE, AZ 85254-4304
(509) 228-2735
Mailing address
12802 N 57TH ST, SCOTTSDALE, AZ 85254-4304
(509) 228-2735
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
10/13/2021
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