Organization
LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX, INC.
Active
Other names
LifeStream at Northeast Phoenix Green House 86
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA TAYLOR (EXECUTIVE VICE PRESIDENT/COO)
(623) 933-3333
Entity
Organization
Contact information
Practice address
20802 N. CAVE CREEK ROAD, BUILDING 86, PHOENIX, AZ 85024
(602) 569-0508
(602) 569-0301
Mailing address
11555 W. PEORIA AVENUE, YOUNGTOWN, AZ 85363
(623) 933-3333
(623) 972-7320
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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