Organization
LEISURE TIMES HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMALIA CIMPEAN (OWNER/ADMINISTRATOR)
(623) 399-2349
Entity
Organization
Contact information
Practice address
11678 W YUCCA CT, SURPRISE, AZ 85378-2518
(623) 399-2349
(623) 505-4239
Mailing address
15653 W REDFIELD RD, SURPRISE, AZ 85379-5628
(623) 399-2349
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10340H
AZ
Other
Enumeration date
07/25/2017
Last updated
06/11/2019
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