Organization
MOUNTZION HOME ASSISTING LIVE HOME
Active
Organization
MOUNTZION HOME ASSISTING LIVE HOME
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS YOLANDA ROSA AL8065H (OWNER)
(480) 392-5422
Entity
Organization
Contact information
Practice address
7019 W CAMBRIDGE AVE, PHOENIX, AZ 85035-1426
(480) 392-5422
Mailing address
7019 W CAMBRIDGE AVE, PHOENIX, AZ 85035-1426
(480) 392-5422
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8065H
AZ
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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